| Ms Kelly A Richardson, PA-C | |
|
2830 Calder St, Beaumont, TX 77702-1809 | |
| (409) 781-1014 | |
| Not Available |
| Full Name | Ms Kelly A Richardson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2830 Calder St, Beaumont, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831248715 | NPI | - | NPPES |
| 88N836 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02363 (Texas) | Primary |
| Entity Name | Sound Physicians Emergency Medicine of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251 |
| Entity Name | Gulf Coast Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972286920 PECOS PAC ID: 6204280480 Enrollment ID: O20230921001356 |
| Entity Name | Jasper Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922781970 PECOS PAC ID: 9133573983 Enrollment ID: O20230927001797 |
| Entity Name | Jefferson Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609559699 PECOS PAC ID: 4880048560 Enrollment ID: O20230928003491 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly A Richardson, PA-C 237 Ridgeland St, Beaumont, TX 77706-4510 Ph: (409) 781-1014 | Ms Kelly A Richardson, PA-C 2830 Calder St, Beaumont, TX 77702-1809 Ph: (409) 781-1014 |
Kelly Lock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6450 Folsom Dr, Beaumont, TX 77706 Phone: 409-835-0524 Fax: 409-835-0632 |
Victoria Elliott Adams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N Ste 127, Beaumont, TX 77707 Phone: 409-860-8181 Fax: 409-860-8184 |
Kayla Dominguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2693 North St, Beaumont, TX 77702 Phone: 409-832-8862 Fax: 409-832-1664 |
Mr. Nathan Guy Ferrell, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3650 Laurel St, Beaumont, TX 77707 Phone: 409-838-0346 |
Katherine Demeritt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3080 College St, Beaumont, TX 77701 Phone: 409-212-5000 |
Frederick Joseph Bebeau, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3460 N. Dowlen Rd, Beaumont, TX 77706 Phone: 409-838-0346 Fax: 409-839-3710 |
Ms. Valerie Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6450 Folsom Dr, Beaumont, TX 77706 Phone: 409-835-0524 Fax: 409-923-1293 |