Dr Randall Phillips, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lake Grove, New York. He went to Hahnemann University College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Medical Arts Radiological Group, Pc and his current practice location is
2780 Middle Country Rd Ste 210, Lake Grove, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 588-4500.
Dr Randall Phillips is licensed to practice in New York (license number 146974) 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 1154304962.
Physician's Profile
| Full Name | Dr Randall Phillips |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 46 Years |
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| Location | 2780 Middle Country Rd Ste 210, Lake Grove, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Randall Phillips attended and graduated from Hahnemann University College Of Medicine in 1978
NPI Data:
- NPI Number: 1154304962
- Provider Enumeration Date: 11/25/2005
- Last Update Date: 12/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 8628960226
- Enrollment ID: I20040329000173
Medical Identifiers
Medical identifiers for Dr Randall Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154304962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 146974 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Arts Radiological Group, Pc | 4789579715 | 2 |
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 Phillips allows following entities to bill medicare on his behalf.
| Entity Name | Medical Arts Radiological Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912096793
PECOS PAC ID: 4789579715
Enrollment ID: O20040218000918 |
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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 Phillips 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 Phillips, MD
2780 Middle Country Rd Ste 210,
Lake Grove, NY 11755-2120
Ph: (631) 588-4500 | Dr Randall Phillips, MD
2780 Middle Country Rd Ste 210,
Lake Grove, NY 11755-2120
Ph: (631) 588-4500 |
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