Ira Andre Richardson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Southaven, MS

Ira Andre Richardson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southaven, Mississippi. He graduated from nursing school in 1989 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mid-south Anesthesia Consultants, Pllc, American Anesthesiology Of Mississippi Llc and his current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 349-4000.

Ira Andre Richardson is licensed to practice in Mississippi (license number APRN810056) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558375279.

Contact Information

Ira Andre Richardson, CRNA
7601 Southcrest Pkwy,
Southaven, MS 38671-4739
(662) 349-4000
Not Available



Provider's Profile

Full NameIra Andre Richardson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience35 Years
Location7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ira Andre Richardson graduated from nursing school in 1989
  NPI Data:
  • NPI Number: 1558375279
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688564453
  • Enrollment ID: I20040525000131

Medical Identifiers

Medical identifiers for Ira Andre Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558375279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN810056 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Hospital DesotoSouthaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-south Anesthesia Consultants, Pllc024422319626
American Anesthesiology Of Mississippi Llc478905787823

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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. Ira Andre Richardson allows following entities to bill medicare on his behalf.
Entity NameMid-south Anesthesia Consultants, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003869520
PECOS PAC ID: 0244223196
Enrollment ID: O20040406001057

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Entity NameAlliance Healthcare System, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821143256
PECOS PAC ID: 2961489547
Enrollment ID: O20040701000719

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Entity NameAmerican Anesthesiology Of Mississippi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023723558
PECOS PAC ID: 4789057878
Enrollment ID: O20230311000163

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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. Ira Andre 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
Ira Andre Richardson, CRNA
6387 S Massey Hill Dr,
Memphis, TN 38120-1407

Ph: (901) 374-9901
Ira Andre Richardson, CRNA
7601 Southcrest Pkwy,
Southaven, MS 38671-4739

Ph: (662) 349-4000

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Nurse Anesthetist, Certified Registered Nurses in Southaven, MS

Jonathan Wesley Reed, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4333    
Jesse Clements,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671
Phone: 901-484-8313    
Robert Lawrence Ryan, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 7580 Clarington Cv, Southaven, MS 38671
Phone: 662-349-9136    Fax: 662-349-0677
Steven Keith Owens, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-349-2659    Fax: 662-349-2653
Nikkita Shanee Robinson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4333    Fax: 855-999-1345
Morgan Thomas Smith,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir Ste 108, Southaven, MS 38671
Phone: 662-349-2659    
Angela D. Mccoy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4333    Fax: 334-244-1830

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