Kelly Richardson, MD05/ in Wyoming, MI - Medicare Internal Medicine

Kelly Richardson, MD05/ is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Wyoming, Michigan. She went to Michigan State University College Of Human Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Brookville Pediatric And Internal Medicine, Pc and her current practice location is 1200 56th St Sw, Wyoming, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 243-5707.

Kelly Richardson is licensed to practice in Michigan (license number 4301079769) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1548278971.

Contact Information

	Kelly Richardson, MD05/
	1200 56th St Sw, Wyoming, MI 49509-9704
	(616) 243-5707
	(616) 243-1170

Map and Direction

Physician's Profile

Full Name	Kelly Richardson
Gender	Female
Speciality	Internal Medicine
Experience	24 Years
Location	1200 56th St Sw, Wyoming, Michigan
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Richardson attended and graduated from Michigan State University College Of Human Medicine in 2002

NPI Data:

NPI Number: 1548278971
Provider Enumeration Date: 08/03/2006
Last Update Date: 10/18/2011

Medicare PECOS Information:

PECOS PAC ID: 4789683053
Enrollment ID: I20061214000167

Medical Identifiers

Medical identifiers for Kelly Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548278971	NPI	-	NPPES
381360529	Other	MI	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301079769 (Michigan)	Secondary
207RA0000X	Internal Medicine - Adolescent Medicine	4301079769 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brookville Pediatric And Internal Medicine, Pc	0446273510	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Richardson allows following entities to bill medicare on her behalf.

Entity Name	Brookville Pediatric & Internal Medicine, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346200847 PECOS PAC ID: 0446273510 Enrollment ID: O20060104000851

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. Kelly 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
Kelly Richardson, MD05/ 1200 56th St Sw, Wyoming, MI 49509-9704 Ph: (616) 243-5707	Kelly Richardson, MD05/ 1200 56th St Sw, Wyoming, MI 49509-9704 Ph: (616) 243-5707

Reviews and Comments

Internal Medicine Doctors in Wyoming, MI

Matthew Aaron Erck, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 Fax: 616-252-7830
Mark J Tieszen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
William Marc Katz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222
Dr. Natalie Kent, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
Dr. Srinivas Reddy Mummadi, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770
Kurt Koepnick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220
Dr. Heidi Lynn Putt, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300

Kelly Richardson, MD05/ - Medicare Internal Medicine in Wyoming, MI