Dr Jacob Russell Randich, DPM | |
203 Plaza Drive, Sikeston, MO 63801 | |
(573) 475-6488 | |
(573) 475-6489 |
Full Name | Dr Jacob Russell Randich |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 5 Years |
Location | 203 Plaza Drive, Sikeston, Missouri |
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 |
---|---|---|---|
1922668755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 135.001050 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Delta Medical Center | Sikeston, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missouri Delta Medical Center | 1355252891 | 74 |
Provider Name | Missouri Delta Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Russell Randich, DPM 203 Plaza Drive, Sikeston, MO 63801 Ph: (573) 475-6488 | Dr Jacob Russell Randich, DPM 203 Plaza Drive, Sikeston, MO 63801 Ph: (573) 475-6488 |
Dr. Hugh Raymond Protzel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 522 Virginia St, Sikeston, MO 63801 Phone: 573-472-2202 Fax: 573-472-3720 | |
Foot And Ankle Centers Of Southeast Missouri Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 522 Virginia St, Sikeston, MO 63801 Phone: 573-472-2202 Fax: 573-472-3720 | |
Accent Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 522 Virginia St, Sikeston, MO 63801 Phone: 573-472-2202 Fax: 573-472-3720 | |
Dr. Douglas S. Foltz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 | |
Dr. Kelley D. Foltz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 |