Randal L Davis, MD - Medicare Family Practice in Clinton, TN

Randal L Davis, MD is a medicare enrolled "Family Medicine" physician in Clinton, Tennessee. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dwic Of Tampa Bay Inc and his current practice location is 102 S. Charles G. Seviers Blvd, Clinton, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 457-4702.

Randal L Davis is licensed to practice in Tennessee (license number 39923) 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 1134158702.

Contact Information

Randal L Davis, MD
102 S. Charles G. Seviers Blvd,
Clinton, TN 37716
(865) 457-4702
Not Available



Physician's Profile

Full NameRandal L Davis
GenderMale
SpecialityFamily Practice
Experience22 Years
Location102 S. Charles G. Seviers Blvd, Clinton, 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:
  • Randal L Davis graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1134158702
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 01/05/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2062438302
  • Enrollment ID: I20130522000378

Medical Identifiers

Medical identifiers for Randal L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134158702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 39923 (Tennessee)Secondary
207Q00000XFamily Medicine 39923 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dwic Of Tampa Bay Inc377957316778

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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. Randal L Davis allows following entities to bill medicare on his behalf.
Entity NameInphynet Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073556767
PECOS PAC ID: 7416865811
Enrollment ID: O20031105000125

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Entity NameDwic Of Tampa Bay Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780633834
PECOS PAC ID: 3779573167
Enrollment ID: O20040517001035

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Entity NameMd Now Medical Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625

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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. Randal L Davis 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
Randal L Davis, MD
731 Cabot Dr,
Knoxville, TN 37934-4796

Ph: () -
Randal L Davis, MD
102 S. Charles G. Seviers Blvd,
Clinton, TN 37716

Ph: (865) 457-4702

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Family Medicine Doctors in Clinton, TN

Dr. Jose J Malagon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716
Phone: 865-457-4702    Fax: 865-457-7178
Dr. Gonzalo Rafael De Villa, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716
Phone: 865-457-4702    
Dr. Christopher Ryan Hagenson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 Executive Park Dr, Clinton, TN 37716
Phone: 865-494-9241    
Dr. Thomas Terrell, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 110 Executive Park Dr, Clinton, TN 37716
Phone: 865-494-9241    Fax: 865-494-0895
Mary Hoehl, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 110 Executive Park Dr, Clinton, TN 37716
Phone: 865-494-9241    
Dr. John Thomas Daugherty, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 110 Executive Park Dr, Clinton, TN 37716
Phone: 865-494-9241    Fax: 865-494-2522
Wendy Noelle May, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 S Charles G Seivers Blvd, Clinton, TN 37716
Phone: 865-457-4702    Fax: 865-457-7178

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