Gary Milton Randall, DO - Medicare Family Practice in Mesa, AZ

Gary Milton Randall, DO is a medicare enrolled "Family Medicine" physician in Mesa, Arizona. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1979 and has 45 years of diverse experience with area of expertise as Family Practice. His current practice location is 4135 S Power Rd Ste 120, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 892-7000.

Gary Milton Randall is licensed to practice in Arizona (license number 006034) 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 1194733733.

Contact Information

Gary Milton Randall, DO
4135 S Power Rd Ste 120,
Mesa, AZ 85212-3626
(480) 892-7000
(480) 545-7001



Physician's Profile

Full NameGary Milton Randall
GenderMale
SpecialityFamily Practice
Experience45 Years
Location4135 S Power Rd Ste 120, Mesa, Arizona
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:
  • Gary Milton Randall attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1979
  NPI Data:
  • NPI Number: 1194733733
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 02/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678563723
  • Enrollment ID: I20130909000719

Medical Identifiers

Medical identifiers for Gary Milton Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194733733NPI-NPPES
832035MedicaidAZ
Z160362OtherAZMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 006034 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Gilbert Medical CenterGilbert, AZHospital

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. Gary Milton Randall allows following entities to bill medicare on his behalf.
Entity NameInnovative Family Health Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942866017
PECOS PAC ID: 8224364005
Enrollment ID: O20190731003849

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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. Gary Milton Randall 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
Gary Milton Randall, DO
1250 S Clearview Ave, Ste 100,
Mesa, AZ 85209-3378

Ph: (480) 988-9108
Gary Milton Randall, DO
4135 S Power Rd Ste 120,
Mesa, AZ 85212-3626

Ph: (480) 892-7000

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Family Medicine Doctors in Mesa, AZ

Dr. Jose Rapanan Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10032 E Southern Ave, Mesa, AZ 85209
Phone: 480-351-2850    
Jennifer Christine Fendler, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 924 N Country Club Dr, Mesa, AZ 85201
Phone: 480-601-3528    
George Ting, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203
Phone: 480-464-8500    
Dr. Thomas P Porter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210
Phone: 480-969-1446    Fax: 480-969-9105
Dana S Farris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209
Phone: 480-834-7546    Fax: 480-833-8313
Nancy Mucha, CNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2843 N 89th St, Mesa, AZ 85207
Phone: 480-396-3482    
Ryan Elisabeth Romo,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1705 W Main St, Mesa, AZ 85201
Phone: 877-809-5092    

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