Jeffrey C Randall, MD | |
6265 Rock Chalk Dr Ste 1500, Lawrence, KS 66049-5232 | |
(785) 843-9125 | |
(785) 505-5312 |
Full Name | Jeffrey C Randall |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 34 Years |
Location | 6265 Rock Chalk Dr Ste 1500, Lawrence, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467410811 | NPI | - | NPPES |
30004240780001 | Medicaid | KS | |
100279030A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 0425975 (Kansas) | Secondary |
207X00000X | Orthopaedic Surgery | 0425975 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence Memorial Hospital | Lawrence, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence Physicians Llc | 1951623834 | 180 |
Kansas University Physicians Inc | 8921911587 | 1456 |
Entity Name | Kansas University Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Entity Name | Lawrence Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841607090 PECOS PAC ID: 1951623834 Enrollment ID: O20141203002058 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey C Randall, MD 325 Maine Street, Lawrence, KS 66044 Ph: (785) 505-2988 | Jeffrey C Randall, MD 6265 Rock Chalk Dr Ste 1500, Lawrence, KS 66049-5232 Ph: (785) 843-9125 |
Kenneth L Wertzberger, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 907 Arkansas, Lawrence, KS 66044 Phone: 785-842-0611 Fax: 785-842-7488 | |
Dr. James Huston, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 Phone: 785-843-9125 Fax: 785-505-5312 | |
Dr. John Donald Galligan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 Phone: 785-843-9125 Fax: 785-843-3176 | |
Richard G Wendt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 Phone: 785-843-9125 Fax: 785-505-5312 | |
Douglass E Stull, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 Phone: 785-843-9125 Fax: 785-843-3176 | |
Stephan L Pro, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 Phone: 785-843-9125 |