Randolph Mcconnie, MD - Medicare Pediatrics in Hazel Crest, IL

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Randolph Mcconnie, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Hazel Crest, Illinois. His current practice location is 17850 Kedzie Ave, 3200, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 798-8112.

Randolph Mcconnie is licensed to practice in Illinois (license number 036-079072) 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 1770580706.

Contact Information

Randolph Mcconnie, MD
17850 Kedzie Ave, 3200,
Hazel Crest, IL 60429-2058
(708) 798-8112
(708) 798-9016

Map and Direction




Physician's Profile

Full NameRandolph Mcconnie
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location17850 Kedzie Ave, Hazel Crest, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770580706
  • Provider Enumeration Date: 07/05/2005
  • Last Update Date: 08/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2466418553
  • Enrollment ID: I20041209000992

Medical Identifiers

Medical identifiers for Randolph Mcconnie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770580706NPI-NPPES
036079072MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036079072 (Illinois)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 036-079072 (Illinois)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 Mcconnie allows following entities to bill medicare on his behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871560961
PECOS PAC ID: 5496744005
Enrollment ID: O20040510000386

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 Mcconnie 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 AddressPractice Location Address
Randolph Mcconnie, MD
Po Box 967,
Tinley Park, IL 60477-0967

Ph: () -		Randolph Mcconnie, MD
17850 Kedzie Ave, 3200,
Hazel Crest, IL 60429-2058

Ph: (708) 798-8112

Reviews and Comments


Pediatrics Doctors in Hazel Crest, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.