Dr Randall Fong, MD is a medicare enrolled "Otolaryngology" physician in Kennewick, Washington. He went to Medical College Of Wisconsin and graduated in 1990 and has 34 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Proliance Surgeons Inc Ps and his current practice location is
7105 W Hood Pl, Suite A 103, Kennewick, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 735-5551.
Dr Randall Fong is licensed to practice in Washington (license number MD00032458) 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 1235172677.
Physician's Profile
| Full Name | Dr Randall Fong |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 34 Years |
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| Location | 7105 W Hood Pl, Kennewick, Washington |
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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 Fong attended and graduated from Medical College Of Wisconsin in 1990
NPI Data:
- NPI Number: 1235172677
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 12/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 0547265845
- Enrollment ID: I20080825000627
Medical Identifiers
Medical identifiers for Dr Randall Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235172677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | MD00032458 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Proliance Surgeons Inc Ps | 8527972900 | 388 |
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 Fong allows following entities to bill medicare on his behalf.
| Entity Name | Proliance Surgeons Inc Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128 |
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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 Fong 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 Fong, MD
805 Madison St, Suite 901,
Seattle, WA 98104-1172
Ph: (206) 264-8100 | Dr Randall Fong, MD
7105 W Hood Pl, Suite A 103,
Kennewick, WA 99336-6714
Ph: (509) 735-5551 |
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