Dr George Ethan Randall, MD is a
Obstetrics & Gynecology physician based in Skaneateles, New York. Dr George Ethan Randall is licensed to practice in New York (license number 60-082606) and his current practice location is 1810 Tamarack Trl, Skaneateles, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 685-7193.
NPI number for Dr George Ethan Randall is 1538596515 and his current mailing address is 1810 Tamarack Trl, Skaneateles, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538596515.
Physician's Profile
| Full Name | Dr George Ethan Randall |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1810 Tamarack Trl, Skaneateles, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538596515
- Provider Enumeration Date: 10/04/2013
- Last Update Date: 05/11/2024
Medical Identifiers
Medical identifiers for Dr George Ethan Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538596515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 60-082606 (New York) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 60-082606 (New York) | Secondary |
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 George Ethan Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr George Ethan Randall, MD
1810 Tamarack Trl,
Skaneateles, NY 13152
Ph: (315) 685-7193 | Dr George Ethan Randall, MD
1810 Tamarack Trl,
Skaneateles, NY 13152
Ph: (315) 685-7193 |
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