Grant Jeffrey Randall, MD in Lees Summit, MO

Grant Jeffrey Randall, MD is a medicare enrolled "Dermatology" physician in Lees Summit, Missouri. His current practice location is 601 Nw Obrien Rd, Lees Summit, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 287-1528.

Grant Jeffrey Randall is licensed to practice in Missouri (license number 2024001206) 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 1245793728.

Contact Information

	Grant Jeffrey Randall, MD
	601 Nw Obrien Rd, Lees Summit, MO 64063-1806
	(816) 287-1528
	(343) 503-0640

Map and Direction

Physician's Profile

Full Name	Grant Jeffrey Randall
Gender	Male
Speciality	Dermatology
Location	601 Nw Obrien Rd, Lees Summit, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245793728
Provider Enumeration Date: 04/10/2019
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1052642493
Enrollment ID: I20200930001356

Medical Identifiers

Medical identifiers for Grant Jeffrey Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245793728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2024001206 (Missouri)	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. Grant Jeffrey Randall allows following entities to bill medicare on his behalf.

Entity Name	Randall Dermatology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245340488 PECOS PAC ID: 3678675329 Enrollment ID: O20070227000078

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. Grant Jeffrey Randall 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
Grant Jeffrey Randall, MD 601 Nw Obrien Rd, Lees Summit, MO 64063-1806 Ph: (816) 287-1528	Grant Jeffrey Randall, MD 601 Nw Obrien Rd, Lees Summit, MO 64063-1806 Ph: (816) 287-1528

Reviews and Comments

Dermatology Doctors in Lees Summit, MO

Nicholas Joseph Golda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 913-907-2496
Julie Ann Green, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 913-451-7546 Fax: 816-524-4929
Theresa Katherine Mattingly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929
Sheldon Sebastian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929
David Ryan Fieleke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1728 Ne Nine Oaks Dr, Lees Summit, MO 64086 Phone: 573-356-7265
Dr. Brea Nicole Sturm, MD Dermatology Medicare: Medicare Enrolled Practice Location: 601 Nw Obrien Rd, Lees Summit, MO 64063 Phone: 816-287-1528 Fax: 816-287-1528

Grant Jeffrey Randall, MD - Medicare Dermatology in Lees Summit, MO