Dr John K Randall, RPH, MD in West Lafayette, IN - Medicare Micrographic Dermatologic Surgery (mds)

Dr John K Randall, RPH, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in West Lafayette, Indiana. He went to Northeastern Ohio University College Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Randall Dermatology, Pc and 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.

Contact Information

	Dr John K Randall, RPH, MD
	124 Sagamore Pkwy W, West Lafayette, IN 47906-1569
	(765) 463-6722
	(765) 463-0905

Map and Direction

Physician's Profile

Full Name	Dr John K Randall
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	39 Years
Location	124 Sagamore Pkwy W, West Lafayette, Indiana
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 John K Randall attended and graduated from Northeastern Ohio University College Of Medicine in 1986

NPI Data:

NPI Number: 1326076530
Provider Enumeration Date: 06/28/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7911917901
Enrollment ID: I20060504000920

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
000000092649	Other	IN	BCBS
01042716	Other	IN	LICENSE
200207110A	Medicaid	IN
100415730A	Medicaid	IN
01042716B	Other	IN	CSR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01042716 (Indiana)	Secondary
207ND0900X	Dermatology - Dermatopathology	01042716 (Indiana)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	01042716 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Arnett Hospital	Lafayette, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Randall Dermatology, Pc	3678675329	10

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 John K Randall allows following entities to bill medicare on his behalf.

Entity Name	Randall Dermatology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245340488 PECOS PAC ID: 3678675329 Enrollment ID: O20070227000078

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

Dr John K Randall, RPH, MD - Medicare Micrographic Dermatologic Surgery (mds) in West Lafayette, IN