Michael Blake Richardson, MD, DPT in North Little Rock, AR - Medicare Student in an Organized Health Care Education/Training Program Provider

Michael Blake Richardson, MD, DPT is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in North Little Rock, Arkansas. His current practice location is 3201 Springhill Dr Ste 300, North Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 753-4132.

Michael Blake Richardson is licensed to practice in * (Not Available) (license number ) 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 1114474723.

Contact Information

	Michael Blake Richardson, MD, DPT
	3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909
	(501) 753-4132
	Not Available

Healthcare Provider's Profile

Full Name	Michael Blake Richardson
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3201 Springhill Dr Ste 300, North Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114474723
Provider Enumeration Date: 09/01/2016
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 1254619547
Enrollment ID: I20210525003026

Medical Identifiers

Medical identifiers for Michael Blake Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114474723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4227 (Arkansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Michael Blake 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
Michael Blake Richardson, MD, DPT 2185 Sugar Creek Dr, Conway, AR 72034-9603 Ph: (870) 250-0183	Michael Blake Richardson, MD, DPT 3201 Springhill Dr Ste 300, North Little Rock, AR 72117-2909 Ph: (501) 753-4132

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Michael Blake Richardson, MD, DPT - Medicare in North Little Rock, AR