Mr Randy Daniel Mcdonald, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ft Meade, Maryland. He graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Canton-potsdam Hospital, Gouverneur Hospital and his current practice location is
2480 Llewellyn Ave, Kimbrough Ambulatory Care Center, Ft Meade, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 677-8011.
Mr Randy Daniel Mcdonald is licensed to practice in New York (license number 380-708-1) 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 1497736243.
Provider's Profile
Full Name | Mr Randy Daniel Mcdonald |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 31 Years |
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Location | 2480 Llewellyn Ave, Ft Meade, Maryland |
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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. |
Medical Education and Training:
- Mr Randy Daniel Mcdonald graduated from nursing school in 1993
NPI Data:
- NPI Number: 1497736243
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991802944
- Enrollment ID: I20070919000760
Medical Identifiers
Medical identifiers for Mr Randy Daniel Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497736243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 380-708-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Canton-potsdam Hospital | 6204827280 | 197 |
Gouverneur Hospital | 9931336724 | 19 |
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. Mr Randy Daniel Mcdonald allows following entities to bill medicare on his behalf.
Entity Name | Canton-potsdam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
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Entity Name | Gouverneur Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
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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. Mr Randy Daniel Mcdonald 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 |
Mr Randy Daniel Mcdonald, CRNA 2480 Llewellyn Ave, Kimbrough Ambulatory Care Center, Ft Meade, MD 20755-5800 Ph: (301) 677-8011 | Mr Randy Daniel Mcdonald, CRNA 2480 Llewellyn Ave, Kimbrough Ambulatory Care Center, Ft Meade, MD 20755-5800 Ph: (301) 677-8011 |
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