Dr Paul Lee Richardson, DDS - Medicare Dentist in Loma Linda, CA

Dr Paul Lee Richardson, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in Loma Linda, California. His current practice location is 11092 Anderson St., Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-4613.

Dr Paul Lee Richardson is licensed to practice in California (license number 22756) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063532299.

Contact Information

Dr Paul Lee Richardson, DDS
11092 Anderson St.,
Loma Linda, CA 92354
(909) 558-4613
(909) 558-4192



Healthcare Provider's Profile

Full NameDr Paul Lee Richardson
GenderMale
SpecialityDentist - Prosthodontics
Location11092 Anderson St., Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063532299
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991779829
  • Enrollment ID: I20160629001042

Medical Identifiers

Medical identifiers for Dr Paul Lee Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063532299NPI-NPPES
22756OtherCASTATE LICENSE NUMBER
D22756OtherCASTATE DENTI-CAL NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 22756 (California)Primary
1223P0700XDentist - Prosthodontics 22756 (California)Primary

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 Paul Lee 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
Dr Paul Lee Richardson, DDS
11092 Anderson St.,
Loma Linda, CA 92354

Ph: (909) 558-4613
Dr Paul Lee Richardson, DDS
11092 Anderson St.,
Loma Linda, CA 92354

Ph: (909) 558-4613

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Dentist in Loma Linda, CA

Tina Mieun Park-lee, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 26554 Amherst Ct, Loma Linda, CA 92354
Phone: 909-769-8077    
Dr. Robert D Kiger, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Dental Service 160, Loma Linda Vamc, Loma Linda, CA 92357
Phone: 909-583-6127    
Dr. Gi Sun Kim, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10935 Rincon St, Loma Linda, CA 92354
Phone: 909-967-3623    
David Roquiz,
Dentist
Medicare: Medicare Enrolled
Practice Location: 11132 Morningstar Pl, Loma Linda, CA 92354
Phone: 863-414-0752    
Paul Jung, DDS MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11092 Anderson St Rm 3306, Loma Linda, CA 92350
Phone: 909-558-4671    
Dr. Jeffrey Martin Henkin, DDS, MS, FICD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 24860 Taylor St, Loma Linda, CA 92350
Phone: 909-558-4610    Fax: 909-558-4801
Jessica Junghwa Kim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11092 Anderson Street, Llu School Of Dentistry, Loma Linda, CA 95350
Phone: 909-558-4613    Fax: 909-558-4192

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