Randall L Stratton, MD | |
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5201 | |
(740) 446-5761 |
Full Name | Randall L Stratton |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 90 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932144821 | NPI | - | NPPES |
0041067000 | Medicaid | WV | |
310917085029 | Other | OH | OH MEDICAID CARESOURCE |
0665767 | Other | OH | MOLINA MEDICAID # |
080040490 | Other | OH | RR MEDICARE |
000000007331 | Other | ANATHEM BCBS | |
000000185318 | Other | OH | UNISON MEDICAID # |
001714042 | Other | MOUNTAIN STATE BCBS | |
0665767 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35-05-5386 (Ohio) | Primary |
207P00000X | Emergency Medicine | 15339 (West Virginia) | Secondary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Randall L Stratton, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 | Randall L Stratton, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 |
Joseph D. Crum, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5586 Fax: 740-446-5749 | |
Dr. Carlton Wayne Herald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5533 Fax: 740-441-3318 | |
Gregory J. Mickunas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
T. Wayne Munro, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
Dr. Andrew Thomas Hughes, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5412 Fax: 740-446-5761 | |
Susheel S Kakde Sr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Dr. Philip C. Robbins, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532 |