Dr Randall Brian Knutson, MD is a medicare enrolled "Emergency Medicine" physician in Orange Beach, Alabama. His current practice location is
32199 Sandpiper Dr, Orange Beach, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 504-1174.
Dr Randall Brian Knutson is licensed to practice in Alabama (license number 28126) 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 1689614679.
Physician's Profile
| Full Name | Dr Randall Brian Knutson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 32199 Sandpiper Dr, Orange Beach, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689614679
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 07/16/2009
Medicare PECOS Information:
- PECOS PAC ID: 4486643608
- Enrollment ID: I20070822001589
Medical Identifiers
Medical identifiers for Dr Randall Brian Knutson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689614679 | NPI | - | NPPES |
| 009910240 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 28126 (Alabama) | Primary |
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 Randall Brian Knutson allows following entities to bill medicare on his behalf.
| Entity Name | Baldwin Emergency Physicians, P.c.. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154378271
PECOS PAC ID: 4688627946
Enrollment ID: O20050225000807 |
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| Entity Name | Infirmary Health Urgent Care - Gulf Shores, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528328127
PECOS PAC ID: 1557526571
Enrollment ID: O20120625000719 |
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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 Randall Brian Knutson 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 |
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Dr Randall Brian Knutson, MD
1613 N Mckenzie St,
Foley, AL 36535-2247
Ph: (251) 949-3540 | Dr Randall Brian Knutson, MD
32199 Sandpiper Dr,
Orange Beach, AL 36561-5735
Ph: (251) 504-1174 |
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