Kyle Randall, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Ontario, Ohio. His current practice location is
715 Richland Mall, Ontario, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 709-8645.
Kyle Randall is licensed to practice in Ohio (license number 35.124114) 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 1750554218.
Physician's Profile
Full Name | Kyle Randall |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 715 Richland Mall, Ontario, Ohio |
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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:
- Kyle Randall attended and graduated from in
NPI Data:
- NPI Number: 1750554218
- Provider Enumeration Date: 04/04/2008
- Last Update Date: 01/25/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kyle Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750554218 | NPI | - | NPPES |
2197144 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 35.124114 (Ohio) | Primary |
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. Kyle 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 |
Kyle Randall, MD 700 N Columbus St, Crestline, OH 44827-1455 Ph: () - | Kyle Randall, MD 715 Richland Mall, Ontario, OH 44906-3802 Ph: (419) 709-8645 |
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