Randall R Fillmore, MD - Medicare Family Practice in West Jordan, UT

Randall R Fillmore, MD is a medicare enrolled "Family Medicine" physician in West Jordan, Utah. He went to University Of Utah School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is 2751 W 9000 South, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 352-5900.

Randall R Fillmore is licensed to practice in Utah (license number 1773791205) 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 1386675627.

Contact Information

Randall R Fillmore, MD
2751 W 9000 South,
West Jordan, UT 84088
(801) 352-5900
(801) 352-5914



Physician's Profile

Full NameRandall R Fillmore
GenderMale
SpecialityFamily Practice
Experience40 Years
Location2751 W 9000 South, West Jordan, Utah
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:
  • Randall R Fillmore attended and graduated from University Of Utah School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1386675627
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 05/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496778912
  • Enrollment ID: I20060111000426

Medical Identifiers

Medical identifiers for Randall R Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386675627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1773791205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jordan Valley Medical CenterWest jordan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Granger Medical Clinic Pc3476465691115
Granger Medical Specialists Llc4587074356157

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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. Randall R Fillmore allows following entities to bill medicare on his behalf.
Entity NameGranger Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159

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Entity NameGranger Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207

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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. Randall R Fillmore 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
Randall R Fillmore, MD
3725 W 4100 South,
West Valley City, UT 84120

Ph: (801) 965-3600
Randall R Fillmore, MD
2751 W 9000 South,
West Jordan, UT 84088

Ph: (801) 352-5900

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Family Medicine Doctors in West Jordan, UT

Suzan Marie Curtis, NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1829 W 7600 S Apt G202, West Jordan, UT 84084
Phone: 801-608-5195    
Maria A Oneida, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3570 W 9000 S, Ste 200, West Jordan, UT 84088
Phone: 801-566-9211    Fax: 801-566-5667
James S Coy, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2751 W 9000 S, West Jordan, UT 84088
Phone: 801-352-5900    Fax: 801-352-5914
Eric R. Grover, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3181 W 9000 S, West Jordan, UT 84088
Phone: 801-352-5900    Fax: 801-352-5914
Michael J Sanderson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3181 W 9000 S, West Jordan, UT 84088
Phone: 801-965-3600    
Maurine M. Cobabe, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2655 W 9000 S, West Jordan, UT 84088
Phone: 801-256-6343    
Judith L Kirstein, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8846 S Redwood Rd, Ste E121, West Jordan, UT 84088
Phone: 801-569-1999    Fax: 801-569-2001

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