| Mr William B Richardson, MD | |
|
30 Boynton St, Eastport, ME 04631-1397 | |
| (207) 853-6001 | |
| (207) 853-4031 |
| Full Name | Mr William B Richardson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 30 Boynton St, Eastport, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457409617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15647 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Health & Counseling Services | Bangor, ME | Home health agency |
| Community Health & Counseling Services | Bangor, ME | Hospice |
| Calais Regional Hospital | Calais, ME | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| Down East Community Hospital | Machias, ME | Hospital |
| Central Park Rehabilitation And Nursing Center | Syracuse, NY | Nursing home |
| Morningstar Residential Care Center | Oswego, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastport Health Care, Inc | 3577592880 | 11 |
| Entity Name | New York General Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | Cs Pacs 3 Northeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20231101000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William B Richardson, MD Po Box 275, 3 Curtis Road Trivalley Family Practice Llc, Vernon, NY 13476-0275 Ph: (315) 829-2220 | Mr William B Richardson, MD 30 Boynton St, Eastport, ME 04631-1397 Ph: (207) 853-6001 |