Randolph Kline, MD in Nellis Afb, NV - Medicare Family Medicine

Randolph Kline, MD is a medicare enrolled "Family Medicine" physician in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-2965.

Randolph Kline is licensed to practice in Nebraska (license number NE28877) 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 1306258207.

Contact Information

	Randolph Kline, MD
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 653-2965
	Not Available

Map and Direction

Physician's Profile

Full Name	Randolph Kline
Gender	Male
Speciality	Family Medicine
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306258207
Provider Enumeration Date: 05/27/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9830484864
Enrollment ID: I20230228000699

Medical Identifiers

Medical identifiers for Randolph Kline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306258207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28877 (Nebraska)	Secondary
207Q00000X	Family Medicine	NE28877 (Nebraska)	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. Randolph Kline allows following entities to bill medicare on his behalf.

Entity Name	Optum Medical Group Ii Rhodes P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770

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. Randolph Kline 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
Randolph Kline, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2965	Randolph Kline, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2965

Reviews and Comments

Family Medicine Doctors in Nellis Afb, NV

Dr. Debra A Koenigsberger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2267
Eileen Ly, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Alisha Provost, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Noel R Colls, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2764
Dr. Elizabeth Anne Landman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Kristen Dorazio, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dipti S Patel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2965

Randolph Kline, MD - Medicare Family Medicine in Nellis Afb, NV