Lisa M Richardson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Mass General Brigham Community Physicians Inc, Mass General Brigham Community Physicians Inc and her current practice location is
55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 643-2009.
Lisa M Richardson is licensed to practice in New Mexico (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083118079.
Physician's Profile
| Full Name | Lisa M Richardson |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 7 Years |
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| Location | 55 Fruit St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa M Richardson graduated from medical school in 2018
NPI Data:
- NPI Number: 1083118079
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193073963
- Enrollment ID: I20230614002078
Medical Identifiers
Medical identifiers for Lisa M Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083118079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 1014707 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mass General Brigham Community Physicians Inc | 1759273436 | 363 |
| Mass General Brigham Community Physicians Inc | 1759273436 | 363 |
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. Lisa M Richardson allows following entities to bill medicare on her behalf.
| Entity Name | Massachusetts General Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
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| Entity Name | The General Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
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| Entity Name | Mass General Brigham Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548638265 PECOS PAC ID: 1759273436 Enrollment ID: O20151215000536 |
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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. Lisa M 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 |
Lisa M Richardson, Msc Internal Medicine 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: () - | Lisa M Richardson, 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 643-2009 |
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