Randolph M Heinle, DO is a
Family Medicine physician based in Richfield, Ohio. Randolph M Heinle is licensed to practice in Ohio (license number 34001772) and his current practice location is 3871 Broadview Rd, Richfield, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 659-4480.
NPI number for Randolph M Heinle is 1982641668 and his current mailing address is 3871 Broadview Rd, Richfield, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982641668.
Physician's Profile
| Full Name | Randolph M Heinle |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 3871 Broadview Rd, Richfield, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982641668
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 09/14/2016
Medical Identifiers
Medical identifiers for Randolph M Heinle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982641668 | NPI | - | NPPES |
| 9934196 | Other | OH | PTAN-GROUP |
| 0015551 | Other | OH | PTAN |
| 1982641668 | Other | OH | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 34001772 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 34001772 (Ohio) | Primary |
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 M Heinle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randolph M Heinle, DO
3871 Broadview Rd,
Richfield, OH 44286-9596
Ph: (330) 659-4480 | Randolph M Heinle, DO
3871 Broadview Rd,
Richfield, OH 44286-9596
Ph: (330) 659-4480 |
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