Dr Randall F Humphreys, is a medicare enrolled "Allergy & Immunology" physician in Panama City, Florida. His current practice location is
2401 St Andrews Blvd, Panama City, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 785-2717.
Dr Randall F Humphreys is licensed to practice in Florida (license number ME59222) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558336503.
Physician's Profile
| Full Name | Dr Randall F Humphreys |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 2401 St Andrews Blvd, Panama City, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558336503
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 01/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 0749313377
- Enrollment ID: I20100803001332
Medical Identifiers
Medical identifiers for Dr Randall F Humphreys such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558336503 | NPI | - | NPPES |
| 12097 | Other | FL | BCBS OF FLORIDA |
| 052572300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | ME59222 (Florida) | Primary |
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 F Humphreys allows following entities to bill medicare on his behalf.
| Entity Name | Randall Humphreys P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548372873
PECOS PAC ID: 9931232568
Enrollment ID: O20100803001316 |
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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 F Humphreys 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 |
|---|
Dr Randall F Humphreys,
2401 St Andrews Blvd,
Panama City, FL 32405
Ph: (850) 785-2717 | Dr Randall F Humphreys,
2401 St Andrews Blvd,
Panama City, FL 32405
Ph: (850) 785-2717 |
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