| Lisa K Richardson, MD | |
|
18636 Dixie Hwy, Homewood, IL 60430-3741 | |
| (708) 647-0571 | |
| (708) 647-0676 |
| Full Name | Lisa K Richardson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 18636 Dixie Hwy, Homewood, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992918726 | NPI | - | NPPES |
| 20999260 | Medicaid | IN | |
| 200999260 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036117734 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 01068767A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Home Health Services | Munster, IN | Home health agency |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 219 Health Network Inc | 0547521452 | 48 |
| Entity Name | 219 Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa K Richardson, MD 1040 Sierra Dr, Suite 400, Greenwood, IN 46143-7240 Ph: (317) 865-8988 | Lisa K Richardson, MD 18636 Dixie Hwy, Homewood, IL 60430-3741 Ph: (708) 647-0571 |
William Cleveland Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 | |
Komal Mahendrakumar Patel, DO, MPH Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18408 Governors Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Yvonne Marie Jimenez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 Chayes Park Dr, Homewood, IL 60430 Phone: 708-935-2069 | |
Dr. Priya Shastri Md, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 100, Homewood, IL 60430 Phone: 708-213-7975 Fax: 708-213-7975 | |
Josephine Minnicino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18408 Governors Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 |