Wendell Lewis Randall, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Mount Airy, North Carolina. His current practice location is
956 N Main St, Mount Airy, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 648-8550.
Wendell Lewis Randall is licensed to practice in North Carolina (license number 36016) 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 1902856065.
Physician's Profile
| Full Name | Wendell Lewis Randall |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 956 N Main St, Mount Airy, North Carolina |
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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:
- Wendell Lewis Randall attended and graduated from in
NPI Data:
- NPI Number: 1902856065
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 05/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Wendell Lewis Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902856065 | NPI | - | NPPES |
| VVF492B944 | Other | VA | MEDICARE NUMBER |
| 70121 | Other | NC | BCBS INDIVIDUAL |
| 89070121 | Medicaid | NC | |
| 36016 | Other | NC | NORTH CAROLINA MEDICAL BOARD MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 36016 (North Carolina) | Primary |
| 208D00000X | General Practice | 36016 (North Carolina) | Secondary |
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. Wendell Lewis Randall 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 |
|---|
Wendell Lewis Randall, MD
956 N Main St,
Mount Airy, NC 27030-3747
Ph: (336) 648-8550 | Wendell Lewis Randall, MD
956 N Main St,
Mount Airy, NC 27030-3747
Ph: (336) 648-8550 |
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