Mr John Vernon Dale Richardson, DDS in Corcoran, CA - Medicare Dentist Provider

Mr John Vernon Dale Richardson, DDS is a medicare enrolled "Dentist - General Practice" provider in Corcoran, California. His current practice location is 1409 Whitley Ave, Suite D, Corcoran, California. You can reach out to his office (for appointments etc.) via phone at (559) 992-4138.

Mr John Vernon Dale Richardson is licensed to practice in California (license number 39700) 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 1255480406.

Contact Information

	Mr John Vernon Dale Richardson, DDS
	1409 Whitley Ave, Suite D, Corcoran, CA 93212
	(559) 992-4138
	(559) 992-4079

Healthcare Provider's Profile

Full Name	Mr John Vernon Dale Richardson
Gender	Male
Speciality	Dentist - General Practice
Location	1409 Whitley Ave, Corcoran, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255480406
Provider Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426335332
Enrollment ID: I20170502002077

Medical Identifiers

Medical identifiers for Mr John Vernon Dale Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255480406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	39700 (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. Mr John Vernon Dale 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
Mr John Vernon Dale Richardson, DDS 1409 Whitley Ave, Suite D, Corcoran, CA 93212 Ph: (559) 992-4138	Mr John Vernon Dale Richardson, DDS 1409 Whitley Ave, Suite D, Corcoran, CA 93212 Ph: (559) 992-4138

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Mr John Vernon Dale Richardson, DDS - Medicare Dentist in Corcoran, CA