Dr Randall A Clary, MD - Medicare Otolaryngology in Saint Louis, MO

Dr Randall A Clary, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Saint Louis, Missouri. His current practice location is 621 S New Ballas Rd, Ste 622a, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 872-8340.

Dr Randall A Clary is licensed to practice in Missouri (license number 100674) 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 1306801600.

Contact Information

Dr Randall A Clary, MD
621 S New Ballas Rd, Ste 622a,
Saint Louis, MO 63141-8232
(314) 872-8340
(314) 872-8399



Physician's Profile

Full NameDr Randall A Clary
GenderMale
SpecialityOtolaryngology - Pediatric Otolaryngology
Location621 S New Ballas Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306801600
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 05/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4880871441
  • Enrollment ID: I20110607000800

Medical Identifiers

Medical identifiers for Dr Randall A Clary such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306801600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YP0228XOtolaryngology - Pediatric Otolaryngology 100674 (Missouri)Primary

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. Dr Randall A Clary allows following entities to bill medicare on his behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107

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Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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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. Dr Randall A Clary 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
Dr Randall A Clary, MD
621 S New Ballas Rd, Ste 622a,
Saint Louis, MO 63141-8232

Ph: (314) 872-8340
Dr Randall A Clary, MD
621 S New Ballas Rd, Ste 622a,
Saint Louis, MO 63141-8232

Ph: (314) 872-8340

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Otolaryngology Doctors in Saint Louis, MO

Mark F Stroble, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 12399 Gravois Rd, Ste 120, Saint Louis, MO 63127
Phone: 314-843-3828    Fax: 314-843-3052
Arya W Namin, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141
Phone: 314-251-6394    Fax: 314-251-4235
Dr. Ethan Craig, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110
Phone: 314-362-5000    
Dr. Richard A Chole, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110
Phone: 314-454-6162    Fax: 314-454-2174
Dr. Timothy J Reichert, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 621 S New Ballas Rd, Suite 622a, Saint Louis, MO 63141
Phone: 314-872-8340    Fax: 314-872-8399
Dr. Cameron Connelly Wick, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110
Phone: 314-362-7509    Fax: 314-362-7522
Dr. Matthew Lee Rohlfing, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110
Phone: 314-362-7509    Fax: 314-362-7522

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