Kendra Rene Richardson, MD in Mount Holly, NC

Kendra Rene Richardson, MD is a medicare enrolled "Family Medicine" physician in Mount Holly, North Carolina. Her current practice location is 215 S Main St, Ste 100, Mount Holly, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 302-8555.

Kendra Rene Richardson is licensed to practice in North Carolina (license number 2015-01954) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932511078.

Contact Information

	Kendra Rene Richardson, MD
	215 S Main St, Ste 100, Mount Holly, NC 28120-1620
	(704) 302-8555
	Not Available

Map and Direction

Physician's Profile

Full Name	Kendra Rene Richardson
Gender	Female
Speciality	Family Medicine
Location	215 S Main St, Mount Holly, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932511078
Provider Enumeration Date: 05/23/2014
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5092094383
Enrollment ID: I20170929002634

Medical Identifiers

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

Identifier	Type	State	Issuer
1932511078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS1201X	Family Medicine - Sleep Medicine	2015-01954 (North Carolina)	Secondary
207Q00000X	Family Medicine	2015-01954 (North Carolina)	Primary

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. Kendra Rene Richardson allows following entities to bill medicare on her behalf.

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

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. Kendra Rene 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
Kendra Rene Richardson, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Kendra Rene Richardson, MD 215 S Main St, Ste 100, Mount Holly, NC 28120-1620 Ph: (704) 302-8555

Reviews and Comments

Family Medicine Doctors in Mount Holly, NC

Michael Alson Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 305 W Catawba Ave, Mount Holly, NC 28120 Phone: 704-822-6200 Fax: 704-822-1601
Dr. Gregory Lee Glass, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 W Catawba Ave, Mount Holly, NC 28120 Phone: 704-827-3014 Fax: 704-822-9114
John Thomas Haney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400
Doris Catherine Pate, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400 Fax: 704-587-2401
Miranda Rae-tsukamoto Mcgahan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400
Lee Alexander Beatty, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 S Main St, Mount Holly, NC 28120 Phone: 704-587-2400 Fax: 704-587-2401

Kendra Rene Richardson, MD - Medicare Family Medicine in Mount Holly, NC