Bernard C Randolph Jr, MD | |
12855 North Forty Drive, Suite 125, St Louis, MO 63141 | |
(314) 966-0111 | |
(314) 966-1023 |
Full Name | Bernard C Randolph Jr |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 39 Years |
Location | 12855 North Forty Drive, St Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841286358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | R6G60 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Mercy Hospital South | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Therapy Spine And Sports Medicine Llc | 3173654936 | 86 |
Mercy Clinic East Communities | 7214827922 | 499 |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
---|---|
Bernard C Randolph Jr, MD 12813 Flushing Meadows Drive, Suite 210, St. Louis, MO 63131 Ph: (314) 966-0111 | Bernard C Randolph Jr, MD 12855 North Forty Drive, Suite 125, St Louis, MO 63141 Ph: (314) 966-0111 |
Richard Katz, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4660 Maryland Ave, Suite 250, St Louis, MO 63108 Phone: 314-361-7384 Fax: 314-361-3383 | |
Dr. Anthony J Margherita, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 555 North New Ballas Rd, Suite 210, St Louis, MO 63141 Phone: 314-432-4999 Fax: 314-432-5088 | |
Sandra L Tate, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 12855 North Forty Drive, Suite 125, St Louis, MO 63141 Phone: 314-966-0111 Fax: 314-966-1023 |