Mr Randall V Lester, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Bluefield, West Virginia. His current practice location is
510 Cherry St, Suite 206, Bldg A, Bluefield, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 327-1888.
Mr Randall V Lester is licensed to practice in West Virginia (license number 12612) 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 1679567325.
Physician's Profile
| Full Name | Mr Randall V Lester |
|---|
| Gender | Male |
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| Speciality | Surgery - Vascular Surgery |
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| Location | 510 Cherry St, Bluefield, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679567325
- Provider Enumeration Date: 09/08/2005
- Last Update Date: 11/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 9638114754
- Enrollment ID: I20111027001001
Medical Identifiers
Medical identifiers for Mr Randall V Lester such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679567325 | NPI | - | NPPES |
| 200947190 | Medicaid | IN | |
| 000000621007 | Other | IN | ANTHEM |
| 010136563 | Medicaid | VA | |
| 010315590 | Medicaid | VA | |
| P00742904 | Other | IN | RR MEDICARE |
| 4410255 | Other | IN | AETNA |
| 010283922 | Medicaid | VA | |
| 0128609000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 0101057487 (Virginia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 01066693A (Indiana) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 12612 (West Virginia) | 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. Mr Randall V Lester allows following entities to bill medicare on his behalf.
| Entity Name | Bluefield Clinic Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518273507
PECOS PAC ID: 4486846730
Enrollment ID: O20101005001325 |
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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. Mr Randall V Lester 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 |
|---|
Mr Randall V Lester, MD
510 Cherry St., Suite 206, Bldg A,
Bluefield, WV 24701
Ph: (304) 327-1888 | Mr Randall V Lester, MD
510 Cherry St, Suite 206, Bldg A,
Bluefield, WV 24701-3338
Ph: (304) 327-1888 |
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