Keifer Dewayne Richardson, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Aiken, South Carolina. His current practice location is
526 Richland Ave W, Aiken, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 648-3130.
Keifer Dewayne Richardson is licensed to practice in Georgia (license number 9335) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174031660.
Physician's Profile
Full Name | Keifer Dewayne Richardson |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 526 Richland Ave W, Aiken, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174031660
- Provider Enumeration Date: 01/18/2018
- Last Update Date: 07/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416217641
- Enrollment ID: I20180208002297
Medical Identifiers
Medical identifiers for Keifer Dewayne Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174031660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | PA2880 (South Carolina) | Secondary |
363AM0700X | Physician Assistant - Medical | 9335 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keifer Dewayne Richardson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keifer Dewayne Richardson, PA-C 1120 15th St Ste Bi1056, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Keifer Dewayne Richardson, PA-C 526 Richland Ave W, Aiken, SC 29801-3828 Ph: (803) 648-3130 |
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