Randall Charles Blake, MD in Honolulu, HI

Randall Charles Blake, MD is a medicare enrolled "Urology" physician in Honolulu, Hawaii. He went to Indiana University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Urology. He is a member of the group practice Island Urology Oahu Llc and his current practice location is 1329 Lusitana St, Suite 602, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 522-5055.

Randall Charles Blake is licensed to practice in Hawaii (license number 14192) 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 1447226055.

Contact Information

	Randall Charles Blake, MD
	1329 Lusitana St, Suite 602, Honolulu, HI 96813-2429
	(808) 522-5055
	(808) 524-6306

Map and Direction

Physician's Profile

Full Name	Randall Charles Blake
Gender	Male
Speciality	Urology
Experience	45 Years
Location	1329 Lusitana St, Honolulu, Hawaii
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 Charles Blake attended and graduated from Indiana University School Of Medicine in 1979

NPI Data:

NPI Number: 1447226055
Provider Enumeration Date: 02/23/2006
Last Update Date: 06/28/2012

Medicare PECOS Information:

PECOS PAC ID: 6901872720
Enrollment ID: I20070919000999

Medical Identifiers

Medical identifiers for Randall Charles Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447226055	NPI	-	NPPES
100171930A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	14192 (Hawaii)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Queens Medical Center	Honolulu, HI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Island Urology Oahu Llc	1951553551	2

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 Charles Blake allows following entities to bill medicare on his behalf.

Entity Name	Island Urology Oahu Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235481185 PECOS PAC ID: 1951553551 Enrollment ID: O20121205000533

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 Charles Blake 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 Charles Blake, MD 1329 Lusitana St, Suite 602, Honolulu, HI 96813-2429 Ph: (808) 522-5055	Randall Charles Blake, MD 1329 Lusitana St, Suite 602, Honolulu, HI 96813-2429 Ph: (808) 522-5055

Reviews and Comments

Urology Doctors in Honolulu, HI

Dr. David Shu- An Chou, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1029 Kapahulu Ave, Suite 306, Honolulu, HI 96816 Phone: 808-218-7858 Fax: 808-218-7859
Joseph Sterbis, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Urology Clinic, Honolulu, HI 96822 Phone: 808-433-2972
Dr. Kent K. Teruya, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1329 Lusitana St Ste 508, Honolulu, HI 96813 Phone: 808-531-1511
Sergei Tikhonenkov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1329 Lusitana St, Suite 602, Honolulu, HI 96813 Phone: 808-522-5055
Ann M Aspera, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000
William Joseph Yarbrough Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1329 Lusitana St, Suite 602, Honolulu, HI 96813 Phone: 808-522-5055 Fax: 808-524-6306
Dr. David C. Wei, MD, FACS Urology Medicare: Medicare Enrolled Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 Fax: 808-432-8241

Randall Charles Blake, MD - Medicare Urology in Honolulu, HI