Dr John K Randall, RPH, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in West Lafayette, Indiana. His current practice location is
124 Sagamore Pkwy W, West Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 463-6722.
Dr John K Randall is licensed to practice in Indiana (license number 01042716) 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 1326076530.
Physician's Profile
| Full Name | Dr John K Randall |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 124 Sagamore Pkwy W, West Lafayette, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John K Randall attended and graduated from in
NPI Data:
- NPI Number: 1326076530
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr John K Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326076530 | NPI | - | NPPES |
| 200207110A | Medicaid | IN | |
| 000000092649 | Other | IN | BCBS |
| 100415730A | Medicaid | IN | |
| 01042716B | Other | IN | CSR |
| 01042716 | Other | IN | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0900X | Dermatology - Dermatopathology | 01042716 (Indiana) | Secondary |
| 207N00000X | Dermatology | 01042716 (Indiana) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 01042716 (Indiana) | Primary |
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 John K 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 John K Randall, RPH, MD
124 Sagamore Pkwy W,
West Lafayette, IN 47906-1569
Ph: (765) 463-6722 | Dr John K Randall, RPH, MD
124 Sagamore Pkwy W,
West Lafayette, IN 47906-1569
Ph: (765) 463-6722 |
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