Jamie Richardson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingwood, West Virginia. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Main Street Anesthesia Of New Mexico, Llc and his current practice location is
150 Memorial Dr, Kingwood, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 329-1400.
Jamie Richardson is licensed to practice in New Mexico (license number 76117) 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 1255740411.
Provider's Profile
| Full Name | Jamie Richardson |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 150 Memorial Dr, Kingwood, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jamie Richardson graduated from nursing school in 2014
NPI Data:
- NPI Number: 1255740411
- Provider Enumeration Date: 08/12/2014
- Last Update Date: 12/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890916399
- Enrollment ID: I20240112001072
Medical Identifiers
Medical identifiers for Jamie Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255740411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 102842 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN96208 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 76117 (New Mexico) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 96208 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA 1064 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 167 |
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. Jamie Richardson allows following entities to bill medicare on his behalf.
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275010985
PECOS PAC ID: 3476807538
Enrollment ID: O20181108002622 |
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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. Jamie 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 |
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Jamie Richardson, CRNA
150 Memorial Dr,
Kingwood, WV 26537-1141
Ph: (304) 329-1400 | Jamie Richardson, CRNA
150 Memorial Dr,
Kingwood, WV 26537-1141
Ph: (304) 329-1400 |
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