Michael Blake Richardson, MD, DPT - Medicare Dermatology in Conway, AR

  1. Home
  2. Dermatology
  3. AR
  4. Conway
Michael Blake Richardson, MD, DPT is a medicare enrolled "Dermatology" physician in Conway, Arkansas. His current practice location is 2425 Dave Ward Dr Ste 202, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 328-5050.

Michael Blake Richardson is licensed to practice in Arkansas (license number E-19315) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114474723.

Contact Information

Michael Blake Richardson, MD, DPT
2425 Dave Ward Dr Ste 202,
Conway, AR 72034-8680
(501) 328-5050
(502) 328-2131

Map and Direction




Physician's Profile

Full NameMichael Blake Richardson
GenderMale
SpecialityDermatology
Location2425 Dave Ward Dr Ste 202, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114474723
  • Provider Enumeration Date: 09/01/2016
  • Last Update Date: 10/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254619547
  • Enrollment ID: I20250522001681

Medical Identifiers

Medical identifiers for Michael Blake Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114474723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology E-19315 (Arkansas)Primary

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. Michael Blake 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 AddressPractice Location Address
Michael Blake Richardson, MD, DPT
2425 Dave Ward Dr Ste 202,
Conway, AR 72034-8680

Ph: (501) 328-5050		Michael Blake Richardson, MD, DPT
2425 Dave Ward Dr Ste 202,
Conway, AR 72034-8680

Ph: (501) 328-5050

Reviews and Comments


Dermatology Doctors in Conway, AR

Dr. Eric Brian Russell, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2425 Dave Ward Dr, Suite 202, Conway, AR 72034
Phone: 501-328-5050    
Dr. Shelley W Russell, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2425 Dave Ward Dr, Suite 202, Conway, AR 72034
Phone: 501-328-5050    
Dr. Thomas Floyd Hudson Iii, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9 Medical Lane, Conway, AR 72034
Phone: 501-327-8480    Fax: 501-327-2854

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.