Randy Charles Lavender Jr, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Cordele, Georgia. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2013 and has 11 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Crisp Regional Hospital Inc and his current practice location is
910 N 5th St, Cordele, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 276-2286.
Randy Charles Lavender Jr is licensed to practice in Georgia (license number 93479) 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 1841637378.
Physician's Profile
| Full Name | Randy Charles Lavender Jr |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 11 Years |
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| Location | 910 N 5th St, Cordele, 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:
- Randy Charles Lavender Jr attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2013
NPI Data:
- NPI Number: 1841637378
- Provider Enumeration Date: 05/23/2013
- Last Update Date: 12/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496996688
- Enrollment ID: I20221013000385
Medical Identifiers
Medical identifiers for Randy Charles Lavender Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841637378 | NPI | - | NPPES |
| 754378 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | ME140940 (Florida) | Secondary |
| 207X00000X | Orthopaedic Surgery | 93479 (Georgia) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 328483 (Louisiana) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 93479 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Crisp Regional Hospital Inc | 5991616336 | 52 |
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. Randy Charles Lavender Jr allows following entities to bill medicare on his behalf.
| Entity Name | Crisp Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700851649
PECOS PAC ID: 5991616336
Enrollment ID: O20040107000032 |
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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. Randy Charles Lavender 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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Randy Charles Lavender Jr, MD
902 N 7th St,
Cordele, GA 31015-3270
Ph: (229) 276-3100 | Randy Charles Lavender Jr, MD
910 N 5th St,
Cordele, GA 31015-3254
Ph: (229) 276-2286 |
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