Dr Ebony Makeda Richards, MD - Medicare Pediatrics in Woodbridge, VA

Dr Ebony Makeda Richards, MD is a medicare enrolled "Pediatrics" physician in Woodbridge, Virginia. Her current practice location is 14139 Potomac Mills Road, Pediatrics, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 359-7878.

Dr Ebony Makeda Richards is licensed to practice in Virginia (license number 0101258488) 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 1235496811.

Contact Information

Dr Ebony Makeda Richards, MD
14139 Potomac Mills Road, Pediatrics,
Woodbridge, VA 22192
(703) 359-7878
(703) 490-7695



Physician's Profile

Full NameDr Ebony Makeda Richards
GenderFemale
SpecialityPediatrics
Location14139 Potomac Mills Road, Woodbridge, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235496811
  • Provider Enumeration Date: 04/19/2012
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193031490
  • Enrollment ID: I20150901002661

Medical Identifiers

Medical identifiers for Dr Ebony Makeda Richards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235496811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101258488 (Virginia)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 Ebony Makeda Richards allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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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 Ebony Makeda Richards 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 Ebony Makeda Richards, MD
14139 Potomac Mills Road, Pediatrics,
Woodbridge, VA 22192

Ph: (703) 359-7878
Dr Ebony Makeda Richards, MD
14139 Potomac Mills Road, Pediatrics,
Woodbridge, VA 22192

Ph: (703) 359-7878

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Pediatrics Doctors in Woodbridge, VA

Paula A Labriola, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191
Phone: 703-494-1144    Fax: 703-494-5647
Dr. Lisa A Pauls, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 22192
Phone: 703-490-7747    Fax: 703-490-7650
Joseph V Puglise, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191
Phone: 703-494-1144    Fax: 703-494-5647
Azka Sophie, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192
Phone: 703-490-8400    
Jocelyn D Trent, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2296 Opitz Blvd, Suite 403, Woodbridge, VA 22191
Phone: 703-878-2233    Fax: 703-878-2254
Frances Marie Vega, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191
Phone: 703-494-1144    Fax: 703-494-5647
Erica Larae Wynn, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192
Phone: 703-490-7740    

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