Timothy A Randall, MD | |
1718 E Kessler Blvd, Longview, WA 98632-1842 | |
(360) 747-5800 | |
(360) 575-3846 |
Full Name | Timothy A Randall |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 1718 E Kessler Blvd, Longview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245237262 | NPI | - | NPPES |
81334 | Other | WA | LABOR & IND |
080099846 | Other | RR MEDICARE | |
057278 | Medicaid | OR | |
8148116 | Medicaid | WA | |
8933772 | Other | WA | CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00030595 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Assured Home Health And Hospice | Centralia, WA | Home health agency |
Hospice Southwest | Vancouver, WA | Hospice |
Peacehealth St John Medical Center | Longview, WA | Hospital |
Beacon Hill Rehabilitation | Longview, WA | Nursing home |
Frontier Rehab & Extended Care | Longview, WA | Nursing home |
Americana Health & Rehab Ctr | Longview, WA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 5890689293 | 180 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Timothy A Randall, MD Po Box 3002, Longview, WA 98632-0302 Ph: (360) 747-5800 | Timothy A Randall, MD 1718 E Kessler Blvd, Longview, WA 98632-1842 Ph: (360) 747-5800 |
Mr. Albert Hung-pei Luh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Michael Adam Krall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Dr. Joseph Leslie Davis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2807 36th Ave, Longview, WA 98632 Phone: 360-425-8365 | |
Muhammad Riaz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 Fax: 360-414-7808 | |
Dr. Morgan Daneel Evans, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846 | |
Mu-hsiang Joy Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846 | |
Peter W Dicristina, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |