Walter Watson Randolph Iii, MD is a medicare enrolled "Obstetrics & Gynecology" physician in New Philadelphia, Ohio. He went to University Of Toledo College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Genesis Primary Care Physicians, Llc and his current practice location is
1417 Kaderly St Nw, New Philadelphia, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 602-5678.
Walter Watson Randolph Iii is licensed to practice in Ohio (license number 35071310R) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992700520.
Physician's Profile
| Full Name | Walter Watson Randolph Iii |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 29 Years |
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| Location | 1417 Kaderly St Nw, New Philadelphia, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Walter Watson Randolph Iii attended and graduated from University Of Toledo College Of Medicine in 1995
NPI Data:
- NPI Number: 1992700520
- Provider Enumeration Date: 06/20/2005
- Last Update Date: 03/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 4789783432
- Enrollment ID: I20070621000396
Medical Identifiers
Medical identifiers for Walter Watson Randolph Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992700520 | NPI | - | NPPES |
| 2127157 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35071310R (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Genesis Primary Care Physicians, Llc | 5294992293 | 43 |
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. Walter Watson Randolph Iii allows following entities to bill medicare on his behalf.
| Entity Name | Genesis Primary Care Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790061513
PECOS PAC ID: 5294992293
Enrollment ID: O20120202000451 |
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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. Walter Watson Randolph Iii 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 |
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Walter Watson Randolph Iii, MD
1417 Kaderly St Nw,
New Philadelphia, OH 44663-1242
Ph: (330) 602-5678 | Walter Watson Randolph Iii, MD
1417 Kaderly St Nw,
New Philadelphia, OH 44663-1242
Ph: (330) 602-5678 |
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