Dr Nicholas Thomas Richardson, OD is a medicare enrolled "Optometrist" provider in Caledonia, Mississippi. He went to Indiana University - School Of Optometry and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. His current practice location is
9692 Wolfe Rd, Caledonia, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 241-9661.
Dr Nicholas Thomas Richardson is licensed to practice in Mississippi (license number 871) 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 1285975094.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Thomas Richardson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 12 Years |
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| Location | 9692 Wolfe Rd, Caledonia, Mississippi |
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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:
- Dr Nicholas Thomas Richardson attended and graduated from Indiana University - School Of Optometry in 2012
NPI Data:
- NPI Number: 1285975094
- Provider Enumeration Date: 03/05/2013
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133346596
- Enrollment ID: I20140807001622
Medical Identifiers
Medical identifiers for Dr Nicholas Thomas Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285975094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 871 (Mississippi) | 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. Dr Nicholas Thomas Richardson allows following entities to bill medicare on his behalf.
| Provider Name | Golden Triangle Family Eye Care, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720403900
PECOS PAC ID: 8224255682
Enrollment ID: O20140807001515 |
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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. Dr Nicholas Thomas 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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Dr Nicholas Thomas Richardson, OD
Po Box 418,
Caledonia, MS 39740-0418
Ph: (662) 241-9661 | Dr Nicholas Thomas Richardson, OD
9692 Wolfe Rd,
Caledonia, MS 39740-9223
Ph: (662) 241-9661 |
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