Randal H Medzoyan, MD is a medicare enrolled "Pediatrics" physician in Annville, Pennsylvania. His current practice location is
1251 E Main St, Annville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 867-4671.
Randal H Medzoyan is licensed to practice in Pennsylvania (license number MD074434L) 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 1831114768.
Physician's Profile
Full Name | Randal H Medzoyan |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1251 E Main St, Annville, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831114768
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 01/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052597101
- Enrollment ID: I20110525000585
Medical Identifiers
Medical identifiers for Randal H Medzoyan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831114768 | NPI | - | NPPES |
101339107 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD074434L (Pennsylvania) | 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. Randal H Medzoyan allows following entities to bill medicare on his behalf.
Entity Name | Pinnacle Health Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
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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. Randal H Medzoyan 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 |
Randal H Medzoyan, MD 409 S 2nd St Ste 2f, Harrisburg, PA 17104-1612 Ph: (717) 867-4671 | Randal H Medzoyan, MD 1251 E Main St, Annville, PA 17003 Ph: (717) 867-4671 |
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