Thomas Randall, MD - Medicare Pediatrics in Missoula, MT

Thomas Randall, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Missoula, Montana. His current practice location is 2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 542-0391.

Thomas Randall is licensed to practice in Montana (license number MT8543) 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 1942210166.

Contact Information

Thomas Randall, MD
2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics,
Missoula, MT 59804
(406) 542-0391
Not Available



Physician's Profile

Full NameThomas Randall
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location2835 Fourt Missoula Rd, Missoula, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942210166
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7113244377
  • Enrollment ID: I20150326002306

Medical Identifiers

Medical identifiers for Thomas Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942210166NPI-NPPES
0049759MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MT8543 (Montana)Primary
2080A0000XPediatrics - Adolescent Medicine MT8543 (Montana)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. Thomas Randall allows following entities to bill medicare on his behalf.
Entity NameRchp Billings - Missoula Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376946913
PECOS PAC ID: 8426370842
Enrollment ID: O20150312000492

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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. Thomas 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 AddressPractice Location Address
Thomas Randall, MD
Po Box 16900,
Missoula, MT 59808

Ph: (406) 327-4620
Thomas Randall, MD
2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics,
Missoula, MT 59804

Ph: (406) 542-0391

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Pediatrics Doctors in Missoula, MT

Dr. William Charles Hastings, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2825 Fort Missoula Rd Ste 201, Missoula, MT 59804
Phone: 406-721-5566    
Jennifer Reck, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2835 Fort Missoula Rd # 3, Missoula, MT 59804
Phone: 406-721-5600    
Laurie Liang Carter, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804
Phone: 406-327-4045    
Dr. Andrea M. Vannatta, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 500 W Broadway St, Missoula, MT 59802
Phone: 406-721-5600    Fax: 406-721-3907
Sandra Simmons, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2835 Fort Missoula Rd, Missoula Valley Pediatrics Ste 205, Missoula, MT 59804
Phone: 406-542-0391    
Kathleen S Rogers, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2835 Fort Missoula Road, Missoula, MT 59804
Phone: 406-721-5600    Fax: 406-721-3907
Jennifer K Hall, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804
Phone: 406-721-5600    Fax: 406-329-7122

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