Randy Craig Randall, MD in Tyler, TX - Medicare Internal Medicine

Randy Craig Randall, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Tyler, Texas. His current practice location is 1783 Troup Highway, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-2283.

Randy Craig Randall is licensed to practice in Texas (license number F9993) 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 1003847716.

Contact Information

	Randy Craig Randall, MD
	1783 Troup Highway, Tyler, TX 75701
	(903) 595-2283
	(903) 595-1063

Physician's Profile

Full Name	Randy Craig Randall
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	1783 Troup Highway, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003847716
Provider Enumeration Date: 07/05/2006
Last Update Date: 01/07/2013

Medicare PECOS Information:

PECOS PAC ID: 8921902420
Enrollment ID: I20050114000777

Medical Identifiers

Medical identifiers for Randy Craig Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003847716	NPI	-	NPPES
128175006	Medicaid	TX
P00044309	Other		MEDICARE RR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	F9993 (Texas)	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. Randy Craig Randall allows following entities to bill medicare on his behalf.

Entity Name	Aligned Providers Of East Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144632621 PECOS PAC ID: 3274758917 Enrollment ID: O20140714000201

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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. Randy Craig Randall 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 Address	Practice Location Address
Randy Craig Randall, MD Po Box 702620, Tulsa, OK 74170-2620 Ph: (888) 608-7999	Randy Craig Randall, MD 1783 Troup Highway, Tyler, TX 75701 Ph: (903) 595-2283

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Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Nabeel K Ahmed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Dr. Amanda Nicole Long, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave, Ste 327, Tyler, TX 75701 Phone: 903-510-1173

Randy Craig Randall, MD - Medicare Internal Medicine in Tyler, TX

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Internal Medicine Doctors in Tyler, TX