Mrs Melissa Sistrunk Richardson, FNPC is a medicare enrolled "Nurse Practitioner" in Logansport, Louisiana. Her current practice location is
808 Main Street, Desoto Regional Family Medicine, Logansport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 697-2273.
Mrs Melissa Sistrunk Richardson is licensed to practice in Louisiana (license number 520553482) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790750362.
Provider's Profile
| Full Name | Mrs Melissa Sistrunk Richardson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 808 Main Street, Logansport, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790750362
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 05/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274603329
- Enrollment ID: I20080602000798
Medical Identifiers
Medical identifiers for Mrs Melissa Sistrunk Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790750362 | NPI | - | NPPES |
| 1553611 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 520553482 (Louisiana) | 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. Mrs Melissa Sistrunk Richardson allows following entities to bill medicare on her behalf.
| Entity Name | Desoto Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467455154 PECOS PAC ID: 2163321829 Enrollment ID: O20040102000229 |
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| Entity Name | Desoto Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457489593 PECOS PAC ID: 8022188176 Enrollment ID: O20080602000779 |
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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. Mrs Melissa Sistrunk 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 |
Mrs Melissa Sistrunk Richardson, FNPC Po Box 789, Logansport, LA 71049 Ph: (318) 697-2273 | Mrs Melissa Sistrunk Richardson, FNPC 808 Main Street, Desoto Regional Family Medicine, Logansport, LA 71049 Ph: (318) 697-2273 |
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