Look up the most recent NPI and PECOS records

Jason Morgan Richerson

Pediatrics

Allopathic & Osteopathic Physicians

(251) 415-1000 (251) 645-1994

PECOS Enrollment

This provider is enrolled in PECOS as JASON RICHERSON.

Based on the most recent information from CMS, provider Jason Morgan Richerson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1952475980
Provider Type
Individual
Full Name
Richerson, Jason Morgan
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
11/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1700 Center St, Mobile, AL 36604-3301

(251) 415-1000

Unlisted Fax

Mailing Location

2813 Valley Forge Dr, Mobile, AL 36618-4573

(251) 645-1994

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 26538 Alabama

Jason Morgan Richerson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chillemi, Mary Lynn Epsten

Nehls, Phillip E

University Of South Alabama

Deshazo, Megan Elizabeth

Ahmed, Ibrahim Mohamed

Macdonell, Charlotte Steelman

Bradham, Kari Anna

Merritt, Brandy Elizabeth

Najam, Aishah

Goslings, Sophia