Kallyn Richardson, in Jacksonville, FL - Medicare Social Worker Provider

Kallyn Richardson, is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. Her current practice location is 11478 Harlan Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (734) 834-0459.

Kallyn Richardson is licensed to practice in Florida (license number SW20839) 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 1003514936.

Contact Information

	Kallyn Richardson,
	11478 Harlan Dr, Jacksonville, FL 32218-4052
	(734) 834-0459
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kallyn Richardson
Gender	Female
Speciality	Social Worker - Clinical
Location	11478 Harlan Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003514936
Provider Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3971977935
Enrollment ID: I20240522001325

Medical Identifiers

Medical identifiers for Kallyn Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003514936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW20839 (Florida)	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. Kallyn Richardson allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20200901002819

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. Kallyn 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
Kallyn Richardson, 11478 Harlan Dr, Jacksonville, FL 32218-4052 Ph: () -	Kallyn Richardson, 11478 Harlan Dr, Jacksonville, FL 32218-4052 Ph: (734) 834-0459

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Kallyn Richardson, - Medicare Clinical Social Worker in Jacksonville, FL