Dr Micah Rose Richardson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Hershey, Pennsylvania. Her current practice location is
500 University Dr, Hershey, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 531-1368.
Dr Micah Rose Richardson is licensed to practice in * (Not Available) (license number ) 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 1376004424.
Physician's Profile
| Full Name | Dr Micah Rose Richardson |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 500 University Dr, Hershey, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376004424
- Provider Enumeration Date: 03/29/2019
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800123175
- Enrollment ID: I20250210000839
Medical Identifiers
Medical identifiers for Dr Micah Rose Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376004424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 036173831 (Illinois) | Secondary |
| 207X00000X | Orthopaedic Surgery | 01095627A (Indiana) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 036173831 (Illinois) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 01095627A (Indiana) | Secondary |
| 208600000X | Surgery | MD478807 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | MT217723 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Micah Rose Richardson allows following entities to bill medicare on her behalf.
| Entity Name | Orthomidwest Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730136474
PECOS PAC ID: 0749183713
Enrollment ID: O20220607001798 |
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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. Dr Micah Rose 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 |
|---|
Dr Micah Rose Richardson, MD
500 University Dr,
Hershey, PA 17033-2360
Ph: () - | Dr Micah Rose Richardson, MD
500 University Dr,
Hershey, PA 17033-2360
Ph: (717) 531-1368 |
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