Dr Harold Herman Randecker Jr, MD is a
Surgery - Vascular Surgery physician based in Lake Stevens, Washington. Dr Harold Herman Randecker Jr is licensed to practice in Washington (license number 14276) and his current practice location is 1814 90th Dr Se, Lake Stevens, Washington. He can be reached at his office (for appointments etc.) via phone at
(425) 829-0700.
NPI number for Dr Harold Herman Randecker Jr is 1891914370 and his current mailing address is 1814 90th Dr Se, Lake Stevens, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891914370.
Physician's Profile
| Full Name | Dr Harold Herman Randecker Jr |
|---|
| Gender | Male |
|---|
| Speciality | Surgery - Vascular Surgery |
|---|
| Location | 1814 90th Dr Se, Lake Stevens, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891914370
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 07/08/2011
Medical Identifiers
Medical identifiers for Dr Harold Herman Randecker Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891914370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 14276 (Washington) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 14276 (Washington) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | 14276 (Washington) | Secondary |
| 208600000X | Surgery | 14276 (Washington) | Secondary |
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 Harold Herman Randecker Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Harold Herman Randecker Jr, MD
1814 90th Dr Se,
Lake Stevens, WA 98258-3791
Ph: (425) 829-0700 | Dr Harold Herman Randecker Jr, MD
1814 90th Dr Se,
Lake Stevens, WA 98258-3791
Ph: (425) 829-0700 |
Reviews and Comments