Randall Gary Samples, MD is a
Pediatrics physician based in Dublin, Virginia. Randall Gary Samples is licensed to practice in Virginia (license number 0101033704) and his current practice location is 5562 Cougar Trail Rd, Dublin, Virginia. He can be reached at his office (for appointments etc.) via phone at
(540) 674-9359.
NPI number for Randall Gary Samples is 1699732115 and his current mailing address is Po Box 969, Dublin, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699732115.
Physician's Profile
Full Name | Randall Gary Samples |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 5562 Cougar Trail Rd, Dublin, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699732115
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Randall Gary Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699732115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0101033704 (Virginia) | Primary |
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 Gary Samples is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Randall Gary Samples, MD Po Box 969, Dublin, VA 24084 Ph: (540) 674-9359 | Randall Gary Samples, MD 5562 Cougar Trail Rd, Dublin, VA 24084 Ph: (540) 674-9359 |
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