Geoffrey M Randolph, MD - Plastic Surgery in Fort Wayne, IN

Geoffrey M Randolph, MD is a Plastic Surgery physician based in Fort Wayne, Indiana. Geoffrey M Randolph is licensed to practice in Indiana (license number 01035742A) and his current practice location is 11141 Parkview Plaza Dr Ste 300, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 490-7111.

NPI number for Geoffrey M Randolph is 1194726380 and his current mailing address is 7230 Engle Rd, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194726380.

Contact Information

Geoffrey M Randolph, MD
11141 Parkview Plaza Dr Ste 300,
Fort Wayne, IN 46845-1715
(260) 490-7111
(260) 490-9301



Physician's Profile

Full NameGeoffrey M Randolph
GenderMale
SpecialityPlastic Surgery
Location11141 Parkview Plaza Dr Ste 300, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194726380
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 07/23/2018

Medical Identifiers

Medical identifiers for Geoffrey M Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194726380NPI-NPPES
240007528OtherINMEDICARE RAILROAD
104366820MedicaidMI
0467338MedicaidOH
100353210MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 01035742A (Indiana)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. Geoffrey M Randolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Geoffrey M Randolph, MD
7230 Engle Rd,
Fort Wayne, IN 46804-2209

Ph: (260) 490-7111
Geoffrey M Randolph, MD
11141 Parkview Plaza Dr Ste 300,
Fort Wayne, IN 46845-1715

Ph: (260) 490-7111

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› Verified 6 days ago


Plastic Surgery Doctors in Fort Wayne, IN

Dr. Reid Robert Pflueger, D.O.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804
Phone: 260-490-7111    
Robert Nicholas Severinac, M.D.
Plastic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825
Phone: 260-489-0099    Fax: 260-489-0066
Guy G Crevecoeur, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-490-7111    Fax: 260-490-2286
Kevin L Berning, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-490-7111    Fax: 260-490-2286
Albert M Morrison, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-425-6960    Fax: 260-425-6965
James R. Miller, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845
Phone: 260-266-8900    Fax: 260-266-8935

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