Randy Pierce, is a medicare enrolled "General Practice" physician in Temperance, Michigan. His current practice location is
7443 Jackman Rd, Temperance, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 850-0100.
Randy Pierce is licensed to practice in Michigan (license number 4301105154) 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 1578981932.
Physician's Profile
Full Name | Randy Pierce |
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Gender | Male |
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Speciality | General Practice |
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Location | 7443 Jackman Rd, Temperance, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578981932
- Provider Enumeration Date: 04/02/2014
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507175320
- Enrollment ID: I20190606002191
Medical Identifiers
Medical identifiers for Randy Pierce such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578981932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301105154 (Michigan) | 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. Randy Pierce allows following entities to bill medicare on his behalf.
Entity Name | Passion Of Mind Healing Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285089466 PECOS PAC ID: 3971836198 Enrollment ID: O20190603002572 |
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Entity Name | Michigan Institute For Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275956674 PECOS PAC ID: 2062749575 Enrollment ID: O20190806004176 |
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Entity Name | Kelly Otp Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265150767 PECOS PAC ID: 0446636385 Enrollment ID: O20220930000595 |
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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. Randy Pierce 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 |
Randy Pierce, 7443 Jackman Rd, Temperance, MI 48182-9223 Ph: (734) 850-0100 | Randy Pierce, 7443 Jackman Rd, Temperance, MI 48182-9223 Ph: (734) 850-0100 |
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