Randy W Dillon, MS,ATC,LAT, LMT, PES is a
Specialist/technologist - Athletic Trainer based in Prospect Park, Pennsylvania. Randy W Dillon is licensed to practice in Pennsylvania (license number RT003236) and his current practice location is
617c Chester Pike, Prospect Park, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(267) 800-8031.
NPI number for Randy W Dillon is 1043810021 and his current mailing address is 917 Old Fern Hill Rd Ste 500, West Chester, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043810021.
Healthcare Provider's Profile
Full Name | Randy W Dillon |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 617c Chester Pike, Prospect Park, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043810021
- Provider Enumeration Date: 10/28/2020
- Last Update Date: 10/28/2024
Medical Identifiers
Medical identifiers for Randy W Dillon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043810021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MSG010353 (Pennsylvania) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | RT003236 (Pennsylvania) | Primary |
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. Randy W Dillon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Randy W Dillon, MS,ATC,LAT, LMT, PES 917 Old Fern Hill Rd Ste 500, West Chester, PA 19380-4255 Ph: (267) 800-8031 | Randy W Dillon, MS,ATC,LAT, LMT, PES 617c Chester Pike, Prospect Park, PA 19076-1506 Ph: (267) 800-8031 |
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