MEDICARE: DR. RICHARD L BARNES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	251643471	PA
2	207Q00000X	Family Medicine Physician	MD034985E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497751580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD L BARNES MD

Provider Business Mailing Address
First Line	:	121 S MAIN ST
Second Line	:
City	:	HOMER CITY
State	:	PA
Zip	:	15748-1518
Country	:	US
Telephone Number	:	724-479-2583
Fax Number	:	724-479-0749

Provider Business Practice Location Address
First Line	:	121 S MAIN ST
Second Line	:
City	:	HOMER CITY
State	:	PA
Zip	:	15748-1518
Country	:	US
Telephone Number	:	724-479-2583
Fax Number	:	724-479-0749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	03/10/2021

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