Dr Randall L Teague, OD in Little Rock, AR - Medicare Optometrist Provider

Dr Randall L Teague, OD is a medicare enrolled "Optometrist" provider in Little Rock, Arkansas. His current practice location is 11115 Hermitage Rd, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 224-7056.

Dr Randall L Teague is licensed to practice in Arkansas (license number 2254) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588687602.

Contact Information

	Dr Randall L Teague, OD
	11115 Hermitage Rd, Little Rock, AR 72211-3807
	(501) 224-7056
	(501) 224-4327

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randall L Teague
Gender	Male
Speciality	Optometrist
Location	11115 Hermitage Rd, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588687602
Provider Enumeration Date: 07/26/2006
Last Update Date: 10/13/2008

Medicare PECOS Information:

PECOS PAC ID: 2163546961
Enrollment ID: I20100831000852

Medical Identifiers

Medical identifiers for Dr Randall L Teague such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588687602	NPI	-	NPPES
105488722	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2254 (Arkansas)	Primary

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. Dr Randall L Teague allows following entities to bill medicare on his behalf.

Provider Name	Ss Eye Group, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992232102 PECOS PAC ID: 4486927035 Enrollment ID: O20170905000507

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. Dr Randall L Teague 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
Dr Randall L Teague, OD 11115 Hermitage Rd, Little Rock, AR 72211-3807 Ph: (501) 224-7056	Dr Randall L Teague, OD 11115 Hermitage Rd, Little Rock, AR 72211-3807 Ph: (501) 224-7056

Reviews and Comments

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Dr Randall L Teague, OD - Medicare Optometrist in Little Rock, AR