Dr Randall Louis Mckissack, MD in Fort Walton Beach, FL

Dr Randall Louis Mckissack, MD is a medicare enrolled "Surgery" physician in Fort Walton Beach, Florida. He went to University Of Alabama School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice White-wilson Medical Center Pa and his current practice location is 999 Mar Walt Dr, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 863-8269.

Dr Randall Louis Mckissack is licensed to practice in Florida (license number ME96715) 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 1487639621.

Contact Information

	Dr Randall Louis Mckissack, MD
	999 Mar Walt Dr, Fort Walton Beach, FL 32547-6758
	(850) 863-8269
	(850) 862-7965

Map and Direction

Physician's Profile

Full Name	Dr Randall Louis Mckissack
Gender	Male
Speciality	General Surgery
Experience	38 Years
Location	999 Mar Walt Dr, Fort Walton Beach, Florida
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 Randall Louis Mckissack attended and graduated from University Of Alabama School Of Medicine in 1986

NPI Data:

NPI Number: 1487639621
Provider Enumeration Date: 12/09/2005
Last Update Date: 11/12/2020

Medicare PECOS Information:

PECOS PAC ID: 3476595364
Enrollment ID: I20061114000035

Medical Identifiers

Medical identifiers for Dr Randall Louis Mckissack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487639621	NPI	-	NPPES
277632400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME96715 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Walton Beach Medical Center	Fort walton beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
White-wilson Medical Center Pa	4082510607	76

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 Louis Mckissack allows following entities to bill medicare on his behalf.

Entity Name	White-wilson Medical Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140

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 Louis Mckissack 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 Randall Louis Mckissack, MD 1005 Mar Walt Drive, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8269	Dr Randall Louis Mckissack, MD 999 Mar Walt Dr, Fort Walton Beach, FL 32547-6758 Ph: (850) 863-8269

Reviews and Comments

Surgery Doctors in Fort Walton Beach, FL

John Christofer Dali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8269 Fax: 850-862-7965
Emilio Claudio Calabrese, MD Surgery Medicare: Medicare Enrolled Practice Location: 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-460-0052 Fax: 844-341-2523
Mr. William Harrison Hunt, MD Surgery Medicare: Medicare Enrolled Practice Location: 1032 Mar Walt Dr Unit 220, Fort Walton Beach, FL 32547 Phone: 850-374-9610 Fax: 850-374-9611
Dr. Robert Lane Rogers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8255 Fax: 850-862-7965
Dr. Michael Lee Miller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11 Racetrack Rd Ne, Suite E4, Fort Walton Beach, FL 32547 Phone: 850-200-4574
Dr. Patrick Thomas Mcgraw, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-864-4033 Fax: 850-864-4076
Jessica Wise, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547 Phone: 850-374-9610 Fax: 850-374-9611

Dr Randall Louis Mckissack, MD - Medicare General Surgery in Fort Walton Beach, FL