Randy Stephen Coshatt, OD in Aliceville, AL - Medicare Optometrist Provider

Randy Stephen Coshatt, OD is a medicare enrolled "Optometrist" provider in Aliceville, Alabama. His current practice location is 112 5th St Ne, Aliceville, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 373-6374.

Randy Stephen Coshatt is licensed to practice in Alabama (license number S-375-TA-023) 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 1932103652.

Contact Information

	Randy Stephen Coshatt, OD
	112 5th St Ne, Aliceville, AL 35442-2200
	(205) 373-6374
	(205) 373-6163

Healthcare Provider's Profile

Full Name	Randy Stephen Coshatt
Gender	Male
Speciality	Optometrist
Location	112 5th St Ne, Aliceville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932103652
Provider Enumeration Date: 06/09/2005
Last Update Date: 11/24/2009

Medicare PECOS Information:

PECOS PAC ID: 0648318808
Enrollment ID: I20091109000140

Medical Identifiers

Medical identifiers for Randy Stephen Coshatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932103652	NPI	-	NPPES
0275270001	Other		CIGNA GOVERNMENT SERVICES
51059452	Other	AL	BLUE CROSS BLUE SHIELD
000059452	Medicaid	AL
0275270001	Other		DMEPOS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-375-TA-023 (Alabama)	Primary

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 Stephen Coshatt 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 Stephen Coshatt, OD 112 5th St Ne, Aliceville, AL 35442-2200 Ph: (205) 373-6374	Randy Stephen Coshatt, OD 112 5th St Ne, Aliceville, AL 35442-2200 Ph: (205) 373-6374

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Randy Stephen Coshatt, OD - Medicare Optometrist in Aliceville, AL