| Randall Allen Carter, PA-C | |
|
17929 Hunting Bow Cir, Lutz, FL 33558-5378 | |
| (813) 792-8555 | |
| Not Available |
| Full Name | Randall Allen Carter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 17929 Hunting Bow Cir, Lutz, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073559373 | NPI | - | NPPES |
| 1045 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9118770 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1045 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson County Hospital | Waurika, OK | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Cordell Memorial Hospital | Cordell, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 358 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Allen Carter, PA-C 1400 Se 4th St Ste H, Moore, OK 73160-7328 Ph: (405) 799-7400 | Randall Allen Carter, PA-C 17929 Hunting Bow Cir, Lutz, FL 33558-5378 Ph: (813) 792-8555 |
Sarah Renee Bush, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24632 State Road 54, Lutz, FL 33559 Phone: 813-948-6335 | |
Kendall Brodie Northcutt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1854 Oak Grove Blvd, Lutz, FL 33559 Phone: 813-471-9709 Fax: 813-681-1191 | |
Vivian Nia Koufogazos, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18981 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-388-5922 | |
Mrs. Karen Marie Wilcox, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19105 Us Highway 41n, Suite 100, Lutz, FL 33549 Phone: 813-269-2700 | |
James D Cardinale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559 Phone: 813-948-3838 Fax: 813-949-0629 | |
Ky Dau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5332 Van Dyke Rd, Lutz, FL 33558 Phone: 813-960-1200 Fax: 813-441-7555 |