Dr Randall Waldner, MD is a medicare enrolled "Family Medicine" physician in Redfield, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice City Of Redfield and his current practice location is
111 W 10th Ave, Redfield, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 472-1110.
Dr Randall Waldner is licensed to practice in South Dakota (license number 12172) 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 1114451010.
Physician's Profile
Full Name | Dr Randall Waldner |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 7 Years |
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Location | 111 W 10th Ave, Redfield, South Dakota |
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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. |
Medical Education and Training:
- Dr Randall Waldner attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2017
NPI Data:
- NPI Number: 1114451010
- Provider Enumeration Date: 04/18/2017
- Last Update Date: 08/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254609506
- Enrollment ID: I20200820002220
Medical Identifiers
Medical identifiers for Dr Randall Waldner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114451010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 12172 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
City Of Redfield | 5698757631 | 9 |
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 Waldner allows following entities to bill medicare on his behalf.
Entity Name | City Of Redfield |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548232747 PECOS PAC ID: 5698757631 Enrollment ID: O20040603000919 |
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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 Waldner 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 Waldner, MD Po Box 590, Redfield, SD 57469-0590 Ph: (605) 472-0510 | Dr Randall Waldner, MD 111 W 10th Ave, Redfield, SD 57469-1519 Ph: (605) 472-1110 |
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