| Wendell L Richardson, MD | |
|
1212 S Walnut St, Fairmont, NC 28340-1848 | |
| (910) 628-6711 | |
| (910) 628-5735 |
| Full Name | Wendell L Richardson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1212 S Walnut St, Fairmont, North Carolina |
| 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 |
|---|---|---|---|
| 1700953940 | NPI | - | NPPES |
| 144CA | Other | NC | BCBS OF NC |
| 5905736 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006-01430 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Pollocksville, NC | Home health agency |
| Carolina East Medical Center | New bern, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Med First Immediate Care And Family Practice Pa | 0446332720 | 94 |
| Entity Name | Med First Immediate Care & Family Practice PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053503763 PECOS PAC ID: 0446332720 Enrollment ID: O20080124000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell L Richardson, MD 1212 S Walnut St, Fairmont, NC 28340-1848 Ph: (910) 628-6711 | Wendell L Richardson, MD 1212 S Walnut St, Fairmont, NC 28340-1848 Ph: (910) 628-6711 |
Amanda Gem Floyd, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1504 Camellia Cir, Fairmont, NC 28340 Phone: 910-736-2835 |
Eugenia Brooks Howie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 N Walnut St, Fairmont, NC 28340 Phone: 910-628-0655 Fax: 910-628-0158 |