Randall R Fillmore, MD in West Jordan, UT

Randall R Fillmore, MD is a medicare enrolled "Family Medicine" physician in West Jordan, Utah. He went to University Of Utah School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is 2751 W 9000 South, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 352-5900.

Randall R Fillmore is licensed to practice in Utah (license number 1773791205) 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 1386675627.

Contact Information

	Randall R Fillmore, MD
	2751 W 9000 South, West Jordan, UT 84088
	(801) 352-5900
	(801) 352-5914

Map and Direction

Physician's Profile

Full Name	Randall R Fillmore
Gender	Male
Speciality	Family Practice
Experience	40 Years
Location	2751 W 9000 South, West Jordan, Utah
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 R Fillmore attended and graduated from University Of Utah School Of Medicine in 1984

NPI Data:

NPI Number: 1386675627
Provider Enumeration Date: 07/05/2006
Last Update Date: 05/13/2013

Medicare PECOS Information:

PECOS PAC ID: 5496778912
Enrollment ID: I20060111000426

Medical Identifiers

Medical identifiers for Randall R Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386675627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1773791205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jordan Valley Medical Center	West jordan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Granger Medical Clinic Pc	3476465691	149
Granger Medical Specialists Llc	4587074356	155

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 R Fillmore allows following entities to bill medicare on his behalf.

Entity Name	Granger Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159

Entity Name	Granger Medical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207

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 R Fillmore 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 R Fillmore, MD 3725 W 4100 South, West Valley City, UT 84120 Ph: (801) 965-3600	Randall R Fillmore, MD 2751 W 9000 South, West Jordan, UT 84088 Ph: (801) 352-5900

Reviews and Comments

Family Medicine Doctors in West Jordan, UT

Zachary John Hansen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600
Suzan Marie Curtis, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1829 W 7600 S Apt G202, West Jordan, UT 84084 Phone: 801-608-5195
Maria A Oneida, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3570 W 9000 S, Ste 200, West Jordan, UT 84088 Phone: 801-566-9211 Fax: 801-566-5667
James S Coy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2751 W 9000 S, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914
Eric R. Grover, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914
Michael J Sanderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600
Maurine M. Cobabe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2655 W 9000 S, West Jordan, UT 84088 Phone: 801-256-6343

Randall R Fillmore, MD - Medicare Family Practice in West Jordan, UT