Randall Bruce Clark Ii, DO in Cape Girardeau, MO

Randall Bruce Clark Ii, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cape Girardeau, Missouri. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Premier Diagnostic Imaging, Llc and his current practice location is 70 Doctors Park, Cape Girardeau, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 334-6071.

Randall Bruce Clark Ii is licensed to practice in Missouri (license number 2013021199) 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 1265873111.

Contact Information

	Randall Bruce Clark Ii, DO
	70 Doctors Park, Cape Girardeau, MO 63703-4928
	(573) 334-6071
	(573) 334-4739

Map and Direction

Physician's Profile

Full Name	Randall Bruce Clark Ii
Gender	Male
Speciality	Diagnostic Radiology
Experience	11 Years
Location	70 Doctors Park, Cape Girardeau, Missouri
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:

Randall Bruce Clark Ii graduated from medical school in 2013

NPI Data:

NPI Number: 1265873111
Provider Enumeration Date: 07/08/2013
Last Update Date: 01/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2668606476
Enrollment ID: I20211021002131

Medical Identifiers

Medical identifiers for Randall Bruce Clark Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265873111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2013021199 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Diagnostic Imaging, Llc	4981877784	3

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 Bruce Clark Ii allows following entities to bill medicare on his behalf.

Entity Name	Premier Diagnostic Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730130345 PECOS PAC ID: 4981877784 Enrollment ID: O20111021000422

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 Bruce Clark 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 Bruce Clark Ii, DO 70 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 334-6071	Randall Bruce Clark Ii, DO 70 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 334-6071

Reviews and Comments

Radiology Doctors in Cape Girardeau, MO

Karen B Willens, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-6671
Jeffrey William Boss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739
Dr. Lance C. Faler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071
Dr. Justin Ray Hodge, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctor's Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739
Abel Assefa Belay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071
Yuan Yuan Xie, Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739
Dr. George A. Pjura, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-6071 Fax: 573-334-4739

Randall Bruce Clark Ii, DO - Medicare Diagnostic Radiology in Cape Girardeau, MO