Mr Randal L Croshaw, MD - Medicare General Surgery in Maryville, TN

Mr Randal L Croshaw, MD is a medicare enrolled "Surgery" physician in Maryville, Tennessee. He went to University Of South Carolina School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Blount Memorial Physician Group Inc and his current practice location is 200 Bmh Cancer Ctr, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 980-5277.

Mr Randal L Croshaw is licensed to practice in Tennessee (license number MD0000054909) 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 1538283007.

Contact Information

Mr Randal L Croshaw, MD
200 Bmh Cancer Ctr,
Maryville, TN 37804-5922
(865) 980-5277
(865) 980-5278



Physician's Profile

Full NameMr Randal L Croshaw
GenderMale
SpecialityGeneral Surgery
Experience21 Years
Location200 Bmh Cancer Ctr, Maryville, Tennessee
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:
  • Mr Randal L Croshaw attended and graduated from University Of South Carolina School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1538283007
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 01/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264610740
  • Enrollment ID: I20161012001594

Medical Identifiers

Medical identifiers for Mr Randal L Croshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538283007NPI-NPPES
Q023731MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD0000054909 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blount Memorial HospitalMaryville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blount Memorial Physician Group Inc6406844174242

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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. Mr Randal L Croshaw allows following entities to bill medicare on his behalf.
Entity NameBlount Memorial Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547

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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. Mr Randal L Croshaw 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
Mr Randal L Croshaw, MD
103 W Broadway Ave,
Maryville, TN 37801-4703

Ph: (865) 273-1752
Mr Randal L Croshaw, MD
200 Bmh Cancer Ctr,
Maryville, TN 37804-5922

Ph: (865) 980-5277

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Surgery Doctors in Maryville, TN

Melissa Emlyn Trekell, M.D.,FACS,M.B.A.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804
Phone: 865-980-5244    Fax: 865-980-5245
Dr. Julie Ann Elisabeth Corcoran, DO, FACS
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804
Phone: 865-681-4800    Fax: 865-681-5558
Stephen E Pacifico, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804
Phone: 865-980-5244    Fax: 865-980-5245
Dr. Daniel Kim, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804
Phone: 865-980-5244    Fax: 865-980-5245
Andrew Hodge, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804
Phone: 865-980-5244    Fax: 865-980-5245
James Bradley Ray, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804
Phone: 865-238-6430    Fax: 865-238-6444

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