Randall Beaupre Ii, MD is a medicare enrolled "Emergency Medicine" physician in Sacaton, Arizona. His current practice location is
483 W Seed Farm Rd, Sacaton, Arizona. You can reach out to his office (for appointments etc.) via phone at
(844) 466-6827.
Randall Beaupre Ii is licensed to practice in Arizona (license number 65488) 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 1457883811.
Physician's Profile
Full Name | Randall Beaupre Ii |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 483 W Seed Farm Rd, Sacaton, Arizona |
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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: 1457883811
- Provider Enumeration Date: 04/03/2017
- Last Update Date: 04/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618351354
- Enrollment ID: I20220830003460
Medical Identifiers
Medical identifiers for Randall Beaupre Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457883811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 65488 (Arizona) | 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. Randall Beaupre Ii allows following entities to bill medicare on his behalf.
Entity Name | Winslow Indian Health Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184729493 PECOS PAC ID: 4284548991 Enrollment ID: O20031117000864 |
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Entity Name | Gila River Health Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648 |
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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. Randall Beaupre Ii 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 |
Randall Beaupre Ii, MD 9888 W Belleview Ave # 5114, Denver, CO 80123-2101 Ph: (844) 466-6827 | Randall Beaupre Ii, MD 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 Ph: (844) 466-6827 |
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