Polly H Richardson, ARNP - Medicare Nurse Practitioner in Bellevue, WA

Polly H Richardson, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Bellevue, Washington. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kaiser Foundation Health Plan Of Washington and her current practice location is 2100 124th Ave Ne, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 556-6300.

Polly H Richardson is licensed to practice in Washington (license number AP30007218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053391003.

Contact Information

Polly H Richardson, ARNP
2100 124th Ave Ne,
Bellevue, WA 98005-1934
(425) 556-6300
Not Available

Map and Direction




Provider's Profile

Full NamePolly H Richardson
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location2100 124th Ave Ne, Bellevue, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Polly H Richardson graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1053391003
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264579010
  • Enrollment ID: I20091027000533

Medical Identifiers

Medical identifiers for Polly H Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053391003NPI-NPPES
AP30007218OtherWAARNP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AP30007218 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of Washington90320225791480

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. Polly H Richardson allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454
Entity NameBhc Fairfax Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104959097
PECOS PAC ID: 1153231857
Enrollment ID: O20031120000445

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. Polly H 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 AddressPractice Location Address
Polly H Richardson, ARNP
2302 200th Ave Se,
Sammamish, WA 98075-7484

Ph: (425) 391-7571
Polly H Richardson, ARNP
2100 124th Ave Ne,
Bellevue, WA 98005-1934

Ph: (425) 556-6300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.