Dr Martin Randall, MD is a medicare enrolled "Pediatrics" physician in Chlesea, Michigan. His current practice location is
13699 E. Old Us Highway 12, Chlesea, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 475-4500.
Dr Martin Randall is licensed to practice in Michigan (license number 4301509245) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992328330.
Physician's Profile
Full Name | Dr Martin Randall |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 13699 E. Old Us Highway 12, Chlesea, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992328330
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 05/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082035738
- Enrollment ID: I20200604000706
Medical Identifiers
Medical identifiers for Dr Martin Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992328330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 4301509245 (Michigan) | 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 Martin 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 Martin Randall, MD 13699 E. Old Us Highway 12, Chlesea, MI 48118 Ph: (734) 475-4500 | Dr Martin Randall, MD 13699 E. Old Us Highway 12, Chlesea, MI 48118-5097 Ph: (734) 475-4500 |
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