Randolph R Evans, MD - Medicare Ophthalmology in Lebanon, TN

Randolph R Evans, MD is a medicare enrolled "Ophthalmology" physician in Lebanon, Tennessee. His current practice location is 1670 W Main St, Ste100, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 453-5155.

Randolph R Evans is licensed to practice in Tennessee (license number 18805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295733772.

Contact Information

Randolph R Evans, MD
1670 W Main St, Ste100,
Lebanon, TN 37087-1344
(615) 453-5155
(615) 444-5915



Physician's Profile

Full NameRandolph R Evans
GenderMale
SpecialityOphthalmology
Location1670 W Main St, Lebanon, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295733772
  • Provider Enumeration Date: 07/08/2005
  • Last Update Date: 08/17/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8820101074
  • Enrollment ID: I20101227000190

Medical Identifiers

Medical identifiers for Randolph R Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295733772NPI-NPPES
4065401OtherTNAETNA PPO
1238610001OtherTNDMERC
180006421OtherTNPALMETTO GBA
000089791OtherTNBCBS ADVANTAGE
3032849OtherTNHEALTHSPRING
000089791OtherTNBLUE CROSS BLUE SHIELD
3389788MedicaidTN
621298175OtherTNDEFAULT
000089791OtherTNTENNCARE SELECT
186641053OtherTNVISION SERVICE PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 18805 (Tennessee)Primary

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. Randolph R Evans allows following entities to bill medicare on his behalf.
Entity NameVanderbilt University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104202761
PECOS PAC ID: 5092023416
Enrollment ID: O20151006000369

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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. Randolph R Evans 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
Randolph R Evans, MD
1670 W Main St, Ste100,
Lebanon, TN 37087-1344

Ph: (615) 453-5155
Randolph R Evans, MD
1670 W Main St, Ste100,
Lebanon, TN 37087-1344

Ph: (615) 453-5155

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Ophthalmology Doctors in Lebanon, TN

Dr. William D. Schenk,
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087
Phone: 615-453-5155    Fax: 615-444-5915
Mrs. Christine Ann Rust, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1670 West Main St, Suite 100, Lebanon, TN 37087
Phone: 859-323-2636    
F Kirk Bowles, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1670 W Main St, Ste 100, Lebanon, TN 37087
Phone: 615-453-5155    Fax: 615-444-5915

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