Randall James Rogers, PA-C, LMT is a medicare enrolled "Physician Assistant" provider in Eustis, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Adventhealth Primary Care Network Inc and his current practice location is
601 Jennings Ave, Eustis, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 357-5311.
Randall James Rogers is licensed to practice in Florida (license number PA9102164) 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 1083741722.
Healthcare Provider's Profile
| Full Name | Randall James Rogers |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 601 Jennings Ave, Eustis, Florida |
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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:
- Randall James Rogers graduated from medical school in 2002
NPI Data:
- NPI Number: 1083741722
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 11/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 8325198989
- Enrollment ID: I20090603000093
Medical Identifiers
Medical identifiers for Randall James Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083741722 | NPI | - | NPPES |
| MA58093 | Other | FL | STATE OF FLORIDA LICENSE |
| PA 9102164 | Other | FL | STATE OF FLORIDA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA58093 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA 9102164 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9102164 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adventhealth Primary Care Network Inc | 1557722410 | 338 |
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. Randall James Rogers 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 |
|---|
Randall James Rogers, PA-C, LMT
601 Jennings Ave,
Eustis, FL 32726-6148
Ph: (352) 357-5311 | Randall James Rogers, PA-C, LMT
601 Jennings Ave,
Eustis, FL 32726-6148
Ph: (352) 357-5311 |
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