Dr Randolph M Richards, MD - Medicare Otolaryngology in Clarksville, TN

Dr Randolph M Richards, MD is a medicare enrolled "Otolaryngology" physician in Clarksville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Advanced Diagnostic Imaging Pc and his current practice location is 787 Weatherly Dr, Suite 200, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 647-1255.

Dr Randolph M Richards is licensed to practice in Tennessee (license number 21029) 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 1174637946.

Contact Information

Dr Randolph M Richards, MD
787 Weatherly Dr, Suite 200,
Clarksville, TN 37043-8949
(931) 647-1255
(931) 647-2399



Physician's Profile

Full NameDr Randolph M Richards
GenderMale
SpecialityOtolaryngology
Experience39 Years
Location787 Weatherly Dr, Clarksville, 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:
  • Dr Randolph M Richards attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1174637946
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658387121
  • Enrollment ID: I20070212000353

Medical Identifiers

Medical identifiers for Dr Randolph M Richards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174637946NPI-NPPES
Q012480MedicaidTN
62186005901OtherTNAMERICHOICE
6039655OtherBLUECROSS
621860059OtherTNTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 21029 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry County Medical CenterParis, TNHospital
Tennova Healthcare-clarksvilleClarksville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Diagnostic Imaging Pc7315848140545

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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. Dr Randolph M Richards allows following entities to bill medicare on his behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677

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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. Dr Randolph M Richards 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
Dr Randolph M Richards, MD
3024 Business Park Cir,
Goodlettsville, TN 37072-3132

Ph: (615) 851-6033
Dr Randolph M Richards, MD
787 Weatherly Dr, Suite 200,
Clarksville, TN 37043-8949

Ph: (931) 647-1255

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Otolaryngology Doctors in Clarksville, TN

Gilbert Theodore Brandon, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1740 Memorial Dr, Clarksville, TN 37043
Phone: 931-245-8700    Fax: 931-245-8747

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