| Theresa Jeanette Richardson, PA-C | |
|
11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | |
| (586) 261-1960 | |
| (586) 261-1961 |
| Full Name | Theresa Jeanette Richardson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 11900 E 12 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285916825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006158 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Olma Specialty Services Llc | 8426464884 | 25 |
| Sjmh Medical Practice-smhc | 8628965175 | 37 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Jeanette Richardson, PA-C 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 Ph: (586) 261-1960 | Theresa Jeanette Richardson, PA-C 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 Ph: (586) 261-1960 |
Kerry Nathan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31150 Hoover, Suite B, Warren, MI 48093 Phone: 586-983-3666 Fax: 586-983-3776 | |
Abdulilah Obeid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Andrew Cox, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093 Phone: 586-261-1960 | |
Laura Saylor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 26000 Hoover Rd, Warren, MI 48089 Phone: 586-722-0707 | |
Irtiah Khan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31150 Hoover Rd Ste B, Warren, MI 48093 Phone: 586-983-3666 | |
Christopher P Czata, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover, Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mr. Ryan Christopher Richardson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3771 E 10 Mile Rd, Warren, MI 48091 Phone: 877-897-7477 Fax: 877-755-1030 |