Dr Marcus Eddie Randall, MD | |
800 Rose Street, Department Of Radiation Medicine, Lexington, KY 40536 | |
(859) 257-7618 | |
(859) 257-7483 |
Full Name | Dr Marcus Eddie Randall |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 800 Rose Street, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487641700 | NPI | - | NPPES |
70124 | Other | NC | BCBS NC |
8970124 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 01042349A (North Carolina) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 40518 (Kentucky) | Primary |
Entity Name | Outer Banks Professional Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
Mailing Address | Practice Location Address |
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Dr Marcus Eddie Randall, MD 800 Rose Street, Department Of Radiation Medicine, Lexington, KY 40536 Ph: (859) 257-7618 | Dr Marcus Eddie Randall, MD 800 Rose Street, Department Of Radiation Medicine, Lexington, KY 40536 Ph: (859) 257-7618 |
Dr. Jeremy Wayne Thacker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Hx-302 Ukmc, Lexington, KY 40536 Phone: 859-257-4457 | |
Dr. Gilroy Lane Daley Sr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3111 Maria Drive, Lexington, KY 40516 Phone: 859-293-2429 Fax: 859-293-2429 | |
Janalyn Prows, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1401 Harrodsburg Rd, Suite A-100, Lexington, KY 40504 Phone: 859-258-6505 Fax: 859-258-6509 | |
Shailendra Chopra, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 S Broadway, Lexington, KY 40504 Phone: 859-258-4181 Fax: 859-258-4058 | |
Dr. Benedek Joseph Bognar, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 421 Bristol Rd, Lexington, KY 40502 Phone: 859-619-1042 | |
Barry D Haney, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1218 S Broadway, Suite 310, Lexington, KY 40504 Phone: 859-219-0542 Fax: 859-219-9433 | |
Dr. Robert Counts Pope, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1218 S Broadway Ste 310, Lexington, KY 40504 Phone: 859-219-0542 Fax: 859-219-9433 |