William Randolph Allen, OD is a medicare enrolled "Optometrist" provider in Jasper, Tennessee. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Optometry. His current practice location is
4597 Main St, Jasper, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 942-4400.
William Randolph Allen is licensed to practice in Tennessee (license number ODT001454) 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 1396770475.
Healthcare Provider's Profile
| Full Name | William Randolph Allen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 32 Years |
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| Location | 4597 Main St, Jasper, Tennessee |
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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:
- William Randolph Allen graduated from medical school in 1992
NPI Data:
- NPI Number: 1396770475
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 03/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375632417
- Enrollment ID: I20071127000841
Medical Identifiers
Medical identifiers for William Randolph Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396770475 | NPI | - | NPPES |
| 3598696 | Medicaid | TN | |
| 0158100 | Other | TN | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODT001454 (Tennessee) | 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. William Randolph Allen 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 |
|---|
William Randolph Allen, OD
4597 Main St,
Jasper, TN 37347-3540
Ph: (423) 942-4400 | William Randolph Allen, OD
4597 Main St,
Jasper, TN 37347-3540
Ph: (423) 942-4400 |
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