Ira Andre Richardson, CRNA in Southaven, MS - Medicare Nurse Anesthetist, Certified Registered

Ira Andre Richardson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southaven, Mississippi. His current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 349-4000.

Ira Andre Richardson is licensed to practice in Mississippi (license number APRN810056) 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 1558375279.

Contact Information

	Ira Andre Richardson, CRNA
	7601 Southcrest Pkwy, Southaven, MS 38671-4739
	(662) 349-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ira Andre Richardson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558375279
Provider Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688564453
Enrollment ID: I20040525000131

Medical Identifiers

Medical identifiers for Ira Andre Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558375279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN810056 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ira Andre Richardson allows following entities to bill medicare on his behalf.

Entity Name	Alliance Healthcare System, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821143256 PECOS PAC ID: 2961489547 Enrollment ID: O20040701000719

Entity Name	Delta Gastroenterology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285789677 PECOS PAC ID: 6800835893 Enrollment ID: O20050428000948

Entity Name	American Anesthesiology Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023723558 PECOS PAC ID: 4789057878 Enrollment ID: O20230311000163

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. Ira Andre 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
Ira Andre Richardson, CRNA 6387 S Massey Hill Dr, Memphis, TN 38120-1407 Ph: (901) 374-9901	Ira Andre Richardson, CRNA 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 349-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Southaven, MS

Jonathan Wesley Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333
Jesse Clements, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 901-484-8313
Robert Lawrence Ryan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7580 Clarington Cv, Southaven, MS 38671 Phone: 662-349-9136 Fax: 662-349-0677
Steven Keith Owens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-2659 Fax: 662-349-2653
Nikkita Shanee Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 Fax: 855-999-1345
Morgan Thomas Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671 Phone: 662-349-2659
Angela D. Mccoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4333 Fax: 334-244-1830

Ira Andre Richardson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Southaven, MS