Dr Randall J Mcdaniel, DMD in Wauwatosa, WI

Dr Randall J Mcdaniel, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in Wauwatosa, Wisconsin. His current practice location is 2626 N 76th St, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 476-9400.

Dr Randall J Mcdaniel is licensed to practice in Wisconsin (license number 5934-015) 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 1518063874.

Contact Information

	Dr Randall J Mcdaniel, DMD
	2626 N 76th St, Wauwatosa, WI 53213
	(414) 476-9400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randall J Mcdaniel
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Pathology
Location	2626 N 76th St, Wauwatosa, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518063874
Provider Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769497965
Enrollment ID: I20060209000094

Medical Identifiers

Medical identifiers for Dr Randall J Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518063874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0106X	Dentist - Oral And Maxillofacial Pathology	5934-015 (Wisconsin)	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. Dr Randall J Mcdaniel allows following entities to bill medicare on his behalf.

Entity Name	Lmg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134235427 PECOS PAC ID: 6305851676 Enrollment ID: O20060208000608

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 Randall J Mcdaniel 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
Dr Randall J Mcdaniel, DMD 2626 N 76th St, Wauwatosa, WI 53213 Ph: (414) 476-9400	Dr Randall J Mcdaniel, DMD 2626 N 76th St, Wauwatosa, WI 53213 Ph: (414) 476-9400

Reviews and Comments

Dentist in Wauwatosa, WI

Dr. Julia Elizabeth Kennedy, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 11819 W Diane Dr, Wauwatosa, WI 53226 Phone: 262-894-6230
Kenneth Paul Ferentchak, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1011 N Mayfair Rd, Suite 303, Wauwatosa, WI 53226 Phone: 414-771-4480 Fax: 414-771-8862
Dr. Christopher N. Jordan, D.D.S., M.S.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11711 W Burleigh St, Wauwatosa, WI 53222 Phone: 414-771-2345 Fax: 414-777-3839
Dr. David Robert Laste, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11637 W North Ave, Wauwatosa, WI 53226 Phone: 414-259-0665 Fax: 414-259-1057
Dr. Erik Daniel Deyoung, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6100 W State St, Apt. 636, Wauwatosa, WI 53213 Phone: 404-819-1282
Dr. Richard V. Knoff, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226 Phone: 414-258-1500
Dr. Nidhi Mahajan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11711 W Burleigh St, Wauwatosa, WI 53222 Phone: 262-524-9000

Dr Randall J Mcdaniel, DMD - Medicare Dentist in Wauwatosa, WI