Randel Brad Davis, PT is a medicare enrolled "Physical Therapist" provider in Chandler, Oklahoma. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Physical Therapy Associates Inc and his current practice location is
112 N Blaine Ave, Suite A, Chandler, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 258-8644.
Randel Brad Davis is licensed to practice in Oklahoma (license number PT1809) 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 1134165103.
Healthcare Provider's Profile
| Full Name | Randel Brad Davis |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 34 Years |
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| Location | 112 N Blaine Ave, Chandler, Oklahoma |
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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:
- Randel Brad Davis graduated from medical school in 1991
NPI Data:
- NPI Number: 1134165103
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315962487
- Enrollment ID: I20120216000493
Medical Identifiers
Medical identifiers for Randel Brad Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134165103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT1809 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Physical Therapy Associates Inc | 6709801871 | 2 |
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. Randel Brad Davis allows following entities to bill medicare on his behalf.
| Provider Name | Physical Therapy Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144249293
PECOS PAC ID: 6709801871
Enrollment ID: O20051007000276 |
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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. Randel Brad Davis 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 |
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Randel Brad Davis, PT
Po Box 57710,
Oklahoma City, OK 73157-7710
Ph: (405) 258-8644 | Randel Brad Davis, PT
112 N Blaine Ave, Suite A,
Chandler, OK 74834-1223
Ph: (405) 258-8644 |
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