Dr Jeffrey G Randle, MD | |
1160 E 3900 S, #5000, Salt Lake City, UT 84124-1275 | |
(801) 262-8486 | |
(801) 284-8699 |
Full Name | Dr Jeffrey G Randle |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 33 Years |
Location | 1160 E 3900 S, Salt Lake City, Utah |
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 |
---|---|---|---|
1063404424 | NPI | - | NPPES |
D1019 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 2944031205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salt Lake Orthopaedic Specialist Llc | 3173422730 | 7 |
Entity Name | Alpine Management And Consulting |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427184449 PECOS PAC ID: 5496659245 Enrollment ID: O20031122000068 |
Entity Name | Salt Lake Orthopaedic Specialist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811913429 PECOS PAC ID: 3173422730 Enrollment ID: O20040102000837 |
Entity Name | Alexanders Fitness Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518583566 PECOS PAC ID: 4486079985 Enrollment ID: O20200730003372 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey G Randle, MD 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821 | Dr Jeffrey G Randle, MD 1160 E 3900 S, #5000, Salt Lake City, UT 84124-1275 Ph: (801) 262-8486 |
James Tran, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: Rehab 85 N Medical Drive Rm 2122, Salt Lake City, UT 84132 Phone: 801-585-2589 | |
Dr. Chase K Hansen, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106 Phone: 801-309-0848 | |
Michael Tobler, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 6360 S 3000 E Ste 300, Salt Lake City, UT 84121 Phone: 385-900-5094 | |
Dr. Michael Matthew Green, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 81 N Mario Capecchi Dr, Department Of Pediatrics, Salt Lake City, UT 84113 Phone: 801-213-7737 Fax: 801-587-7539 | |
Ms. Allison Oki, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Univerisity Of Utah, Department Of Pm&r, Salt Lake City, UT 84132 Phone: 801-585-2589 Fax: 801-587-7287 | |
Bradeigh Smithson Godfrey, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 258 Heritage Ctr, Salt Lake City, UT 84112 Phone: 801-587-1290 |