Randdolf Physicians Pllc in San Antonio, TX

Randdolf Physicians Pllc is a medicare enrolled primary clinic (Family Medicine) in San Antonio, Texas. The current practice location for Randdolf Physicians Pllc is 22211 Ih 10 W Ste 1206, San Antonio, Texas. For appointments, you can reach them via phone at (917) 562-5727. The mailing address for Randdolf Physicians Pllc is 22211 Ih 10 W Ste 1206, San Antonio, Texas and phone number is (917) 562-5727.

Randdolf Physicians Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386484947. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (917) 562-5727.

Contact Information

	Randdolf Physicians Pllc
	22211 Ih 10 W Ste 1206 San Antonio TX 78257-1742
	(917) 562-5727
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Randdolf Physicians Pllc
Speciality	Family Medicine
Location	22211 Ih 10 W Ste 1206, San Antonio, Texas
Authorized Official Name and Position	Derrick E. Randdolf (AUTHORIZED OFFICIAL)
Authorized Official Contact	9175625727
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Randdolf Physicians Pllc 22211 Ih 10 W Ste 1206 San Antonio TX 78257-1742 Ph: (917) 562-5727	Randdolf Physicians Pllc 22211 Ih 10 W Ste 1206 San Antonio TX 78257-1742 Ph: (917) 562-5727

NPI Details:

NPI Number	1386484947
Provider Enumeration Date	05/30/2024
Last Update Date	05/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3577003581
Medicare Enrollment ID	O20240905001052

Medical Identifiers

Medical identifiers for Randdolf Physicians Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386484947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Randdolf Physicians Pllc acts as a billing entity for following providers:

Provider Name	Derrick Randdolf
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1104205343 PECOS PAC ID: 8426348178 Enrollment ID: I20171130001563

Reviews and Comments

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Randdolf Physicians Pllc - Medicare Primary Care in San Antonio, TX