Dr Michael L Randall, DO is a
Family Medicine physician based in Centereach, New York. Dr Michael L Randall is licensed to practice in New York (license number 200458) and his current practice location is 2539 Middle Country Road, Centereach, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 580-1740.
NPI number for Dr Michael L Randall is 1639196108 and his current mailing address is 2539 Middle Country Road, Centereach, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639196108.
Physician's Profile
| Full Name | Dr Michael L Randall |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2539 Middle Country Road, Centereach, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639196108
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/27/2011
Medical Identifiers
Medical identifiers for Dr Michael L Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639196108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 200458 (New York) | 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 Michael L Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael L Randall, DO
2539 Middle Country Road,
Centereach, NY 11720
Ph: (631) 580-1740 | Dr Michael L Randall, DO
2539 Middle Country Road,
Centereach, NY 11720
Ph: (631) 580-1740 |
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