| Robert J Richardson, MD | |
|
700 Doctors Ct, Leesburg, FL 34748-7314 | |
| (352) 787-9838 | |
| (352) 787-8705 |
| Full Name | Robert J Richardson |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 41 Years |
| Location | 700 Doctors Ct, Leesburg, Florida |
| 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 |
|---|---|---|---|
| 1558399733 | NPI | - | NPPES |
| 253935700 | Medicaid | FL | |
| 42992 | Other | FL | BCBS FL |
| 42992A | Other | FL | BCBS FL |
| 42992B | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME75610 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villages Regional Hospital Physician Services Llc | 0244688893 | 170 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Villages Regional Hospital Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Richardson, MD 700 Doctors Ct, Leesburg, FL 34748-7314 Ph: (352) 787-9838 | Robert J Richardson, MD 700 Doctors Ct, Leesburg, FL 34748-7314 Ph: (352) 787-9838 |
Ralph Duane Cook, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Leesburg, FL 34748 Phone: 352-742-1171 Fax: 352-742-7241 | |
Karen S Thompson, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |