Randall Shane Clower, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Kennewick, Washington. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Physicians Immediate Care And Medical Centers Ps and his current practice location is
911 S Washington St, Suite A, Kennewick, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 586-8368.
Randall Shane Clower is licensed to practice in Washington (license number PA10003813) 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 1871521864.
Physician's Profile
| Full Name | Randall Shane Clower |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 911 S Washington St, Kennewick, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Randall Shane Clower graduated from medical school in 1996
NPI Data:
- NPI Number: 1871521864
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496844060
- Enrollment ID: I20071204000775
Medical Identifiers
Medical identifiers for Randall Shane Clower such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871521864 | NPI | - | NPPES |
| 0226765 | Other | WA | L&I |
| 8332090 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA10003813 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA10003813 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physicians Immediate Care And Medical Centers Ps | 7618865775 | 22 |
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 Shane Clower 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 Shane Clower, PA-C
911 S Washington St, Suite A,
Kennewick, WA 99336-5600
Ph: (509) 586-8368 | Randall Shane Clower, PA-C
911 S Washington St, Suite A,
Kennewick, WA 99336-5600
Ph: (509) 586-8368 |
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