Keifer Dewayne Richardson, PA-C - Medicare Physician Assistant in Aiken, SC

Keifer Dewayne Richardson, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Aiken, South Carolina. His current practice location is 526 Richland Ave W, Aiken, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 648-3130.

Keifer Dewayne Richardson is licensed to practice in Georgia (license number 9335) 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 1174031660.

Contact Information

Keifer Dewayne Richardson, PA-C
526 Richland Ave W,
Aiken, SC 29801-3828
(803) 648-3130
Not Available



Physician's Profile

Full NameKeifer Dewayne Richardson
GenderMale
SpecialityPhysician Assistant - Medical
Location526 Richland Ave W, Aiken, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174031660
  • Provider Enumeration Date: 01/18/2018
  • Last Update Date: 07/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7416217641
  • Enrollment ID: I20180208002297

Medical Identifiers

Medical identifiers for Keifer Dewayne Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174031660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism PA2880 (South Carolina)Secondary
363AM0700XPhysician Assistant - Medical 9335 (Georgia)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. Keifer Dewayne 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
Keifer Dewayne Richardson, PA-C
1120 15th St Ste Bi1056,
Augusta, GA 30912-0004

Ph: (706) 721-3813
Keifer Dewayne Richardson, PA-C
526 Richland Ave W,
Aiken, SC 29801-3828

Ph: (803) 648-3130

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