Randolph Ross Jr, MD in Hattiesburg, MS - Medicare Internal Medicine

Randolph Ross Jr, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Hattiesburg, Mississippi. His current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5650.

Randolph Ross Jr is licensed to practice in Mississippi (license number 27412) 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 1295267680.

Contact Information

	Randolph Ross Jr, MD
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 268-5650
	Not Available

Map and Direction

Physician's Profile

Full Name	Randolph Ross Jr
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295267680
Provider Enumeration Date: 04/03/2017
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3577836147
Enrollment ID: I20230717003177

Medical Identifiers

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

Identifier	Type	State	Issuer
1295267680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	27412 (Mississippi)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	27412 (Mississippi)	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 Ross Jr allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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 Ross Jr 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 Ross Jr, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5650	Randolph Ross Jr, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5650

Reviews and Comments

Internal Medicine Doctors in Hattiesburg, MS

Laurie Evans Douglas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290
Dr. Charles Ramsey Mccollum Iii, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212
Porter Hudson Glover, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778
Alex Gauthier, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Grettel Rodriguez Garcia, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441
Ms. Manal Mohammad Abdur Rahman, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860
Dr. Vashishtha Patel, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499

Randolph Ross Jr, MD - Medicare Internal Medicine in Hattiesburg, MS