Dr Randall Scott, DO is a medicare enrolled "Family Medicine" physician in Green Cove Springs, Florida. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Wellness Center Gcs Inc and his current practice location is
3189 Highway 17, Green Cove Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 621-0643.
Dr Randall Scott is licensed to practice in Florida (license number OS11177) 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 1619138658.
Physician's Profile
| Full Name | Dr Randall Scott |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 16 Years |
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| Location | 3189 Highway 17, Green Cove Springs, Florida |
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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 Scott attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2008
NPI Data:
- NPI Number: 1619138658
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 09/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406034586
- Enrollment ID: I20110620000124
Medical Identifiers
Medical identifiers for Dr Randall Scott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619138658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | OS 11177 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | OS11177 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Wellness Center Gcs Inc | 3375885890 | 3 |
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 Scott allows following entities to bill medicare on his behalf.
| Entity Name | Elite Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346516853
PECOS PAC ID: 2466496880
Enrollment ID: O20050616000704 |
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| Entity Name | Family Wellness Center Gcs Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861954653
PECOS PAC ID: 3375885890
Enrollment ID: O20190612001113 |
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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 Scott 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 Scott, DO
3189 Highway 17,
Green Cove Springs, FL 32043-9371
Ph: (904) 621-0247 | Dr Randall Scott, DO
3189 Highway 17,
Green Cove Springs, FL 32043-9371
Ph: (904) 621-0643 |
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