Michael Blake Richardson, MD, DPT in Conway, AR

Michael Blake Richardson, MD, DPT is a medicare enrolled "Dermatology" physician in Conway, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Russell Dermatology Of Conway, Pllc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Michael Blake Richardson
Gender	Male
Speciality	Dermatology
Experience	4 Years
Location	2425 Dave Ward Dr Ste 202, Conway, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Blake Richardson attended and graduated from University Of Arkansas College Of Medicine in 2021

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.

Identifier	Type	State	Issuer
1114474723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	E-19315 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Russell Dermatology Of Conway, Pllc	2961528807	5

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 Address	Practice 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

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