Thomas Randall, MD | |
2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, MT 59804 | |
(406) 542-0391 | |
Not Available |
Full Name | Thomas Randall |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 2835 Fourt Missoula Rd, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942210166 | NPI | - | NPPES |
0049759 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MT8543 (Montana) | Primary |
2080A0000X | Pediatrics - Adolescent Medicine | MT8543 (Montana) | Primary |
Entity Name | Rchp Billings - Missoula Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376946913 PECOS PAC ID: 8426370842 Enrollment ID: O20150312000492 |
Mailing Address | Practice Location Address |
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Thomas Randall, MD Po Box 16900, Missoula, MT 59808 Ph: (406) 327-4620 | Thomas Randall, MD 2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, MT 59804 Ph: (406) 542-0391 |
Dr. William Charles Hastings, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Fort Missoula Rd Ste 201, Missoula, MT 59804 Phone: 406-721-5566 | |
Jennifer Reck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd # 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Laurie Liang Carter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804 Phone: 406-327-4045 | |
Dr. Andrea M. Vannatta, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Sandra Simmons, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd, Missoula Valley Pediatrics Ste 205, Missoula, MT 59804 Phone: 406-542-0391 | |
Kathleen S Rogers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-721-3907 | |
Jennifer K Hall, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-329-7122 |