Dr Randall Alan Hanson Jr, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Winder, Georgia. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Northeast Georgia Physicians Group Inc and his current practice location is
293 N Broad St, Winder, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 867-4110.
Dr Randall Alan Hanson Jr is licensed to practice in Georgia (license number POD001293) 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 1760810766.
Healthcare Provider's Profile
| Full Name | Dr Randall Alan Hanson Jr |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 11 Years |
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| Location | 293 N Broad St, Winder, Georgia |
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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:
- Dr Randall Alan Hanson Jr graduated from medical school in 2013
NPI Data:
- NPI Number: 1760810766
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941595482
- Enrollment ID: I20160823003199
Medical Identifiers
Medical identifiers for Dr Randall Alan Hanson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760810766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001293 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Georgia Physicians Group Inc | 6901898386 | 651 |
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 Alan Hanson Jr allows following entities to bill medicare on his behalf.
| Provider Name | Northeast Georgia Physicians Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277 |
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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. Dr Randall Alan Hanson Jr 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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Dr Randall Alan Hanson Jr, DPM
Po Box 742616,
Atlanta, GA 30374-2616
Ph: (770) 219-8420 | Dr Randall Alan Hanson Jr, DPM
293 N Broad St,
Winder, GA 30680-2155
Ph: (770) 867-4110 |
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