Dr Derrick Wade Randall, MD in Charleston, SC

Dr Derrick Wade Randall, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Charleston, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Proactive Therapy Of South Carolina Inc, Proactive Therapy Of South Carolina Inc, Roper Saint Francis Physicians Network and his current practice location is 2145 Henry Tecklenburg Dr Ste 220, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 723-8823.

Dr Derrick Wade Randall is licensed to practice in South Carolina (license number 19659) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699766758.

Contact Information

	Dr Derrick Wade Randall, MD
	2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894
	(843) 723-8823
	(843) 606-8059

Map and Direction

Physician's Profile

Full Name	Dr Derrick Wade Randall
Gender	Male
Speciality	Pain Management
Experience	28 Years
Location	2145 Henry Tecklenburg Dr Ste 220, Charleston, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Derrick Wade Randall attended and graduated from Medical University Of South Carolina College Of Medicine in 1996

NPI Data:

NPI Number: 1699766758
Provider Enumeration Date: 10/28/2005
Last Update Date: 09/04/2020

Medicare PECOS Information:

PECOS PAC ID: 2466544556
Enrollment ID: I20150928000689

Medical Identifiers

Medical identifiers for Dr Derrick Wade Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699766758	NPI	-	NPPES
19659	Other	SC	SC LICENSE
196594	Medicaid	SC
000915967B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	19659 (South Carolina)	Secondary
207L00000X	Anesthesiology	050251 (Georgia)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	19659 (South Carolina)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	19659 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Mount Pleasant Hospital	Mount pleasant, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proactive Therapy Of South Carolina Inc	0547230955	57
Proactive Therapy Of South Carolina Inc	0547230955	57
Roper Saint Francis Physicians Network	5193874824	422

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 Derrick Wade Randall allows following entities to bill medicare on his behalf.

Entity Name	Roper Saint Francis Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346752383 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021

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 Derrick Wade 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
Dr Derrick Wade Randall, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620	Dr Derrick Wade Randall, MD 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 Ph: (843) 723-8823

Reviews and Comments

Pain Medicine Doctors in Charleston, SC

Dr. George M Inabinet Jr., MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Dale Raymond Tabor, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Va Anesthesia Service, Charleston, SC 29401 Phone: 843-789-7345
Jeffrey W Folk, Pain Medicine Medicare: Medicare Enrolled Practice Location: 125 Doughty St, Ste 420, Charleston, SC 29403 Phone: 843-723-3441 Fax: 843-805-4040
Todd P Joye, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty St, Ste 420, Charleston, SC 29403 Phone: 843-723-3441 Fax: 843-805-4040

Dr Derrick Wade Randall, MD - Medicare Pain Management in Charleston, SC