Randall J Guttridge, DO is a medicare enrolled "Allergy & Immunology" physician in Port Richey, Florida. His current practice location is
8202 Washington St, Port Richey, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 819-1610.
Randall J Guttridge is licensed to practice in Florida (license number OS8673) 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 1932292562.
Physician's Profile
Full Name | Randall J Guttridge |
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Gender | Male |
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Speciality | Allergy & Immunology |
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Location | 8202 Washington St, Port Richey, Florida |
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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: 1932292562
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 03/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032129432
- Enrollment ID: I20060501000107
Medical Identifiers
Medical identifiers for Randall J Guttridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932292562 | NPI | - | NPPES |
TAX I.D. NUMBER | Other | FL | 593480541 |
0200484 | Other | FL | UNITED HEALTHCARE I.D. # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | OS8673 (Florida) | 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 J Guttridge allows following entities to bill medicare on his behalf.
Entity Name | Kratz Allergy Asthma & Immunology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891789293 PECOS PAC ID: 0941397210 Enrollment ID: O20071102000374 |
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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 J Guttridge 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 J Guttridge, DO 8202 Washington St, Port Richey, FL 34668-6695 Ph: (727) 819-1610 | Randall J Guttridge, DO 8202 Washington St, Port Richey, FL 34668-6695 Ph: (727) 819-1610 |
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