Dr Randall James Brenneman, MD - Medicare Radiation Oncology in Springfield, IL

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Dr Randall James Brenneman, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Springfield, Illinois. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Springfield Clinic, Llp, Urology Of St Louis Inc, Urology Of St Louis Inc and his current practice location is 701 North 1st Street Radiation Oncology, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Dr Randall James Brenneman is licensed to practice in Illinois (license number 036156598) 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 1366899841.

Contact Information

Dr Randall James Brenneman, MD
701 North 1st Street Radiation Oncology,
Springfield, IL 62781-1032
(217) 528-7541
(314) 747-9557

Map and Direction




Physician's Profile

Full NameDr Randall James Brenneman
GenderMale
SpecialityRadiation Oncology
Experience10 Years
Location701 North 1st Street Radiation Oncology, Springfield, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Randall James Brenneman attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1366899841
  • Provider Enumeration Date: 05/16/2016
  • Last Update Date: 08/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365737939
  • Enrollment ID: I20210707003560

Medical Identifiers

Medical identifiers for Dr Randall James Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366899841NPI-NPPES
200061655MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 2021019467 (Missouri)Secondary
2085R0001XRadiology - Radiation Oncology 036156598 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterSpringfield, ILHospital
St Lukes HospitalChesterfield, MOHospital
Missouri Baptist Medical CenterTown and country, MOHospital
St Johns HospitalSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic, Llp0547166076678
Urology Of St Louis Inc6204723786112
Urology Of St Louis Inc6204723786112

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 James Brenneman allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic, LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameUrology of St Louis Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528017191
PECOS PAC ID: 6204723786
Enrollment ID: O20050502001141
Entity NameWashington University Physicians in Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477076263
PECOS PAC ID: 4789945163
Enrollment ID: O20180227002018

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 James Brenneman 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 AddressPractice Location Address
Dr Randall James Brenneman, MD
4921 Parkview Pl, Dept Radiation Oncology, Ll,
Saint Louis, MO 63110-1032

Ph: (314) 747-7236		Dr Randall James Brenneman, MD
701 North 1st Street Radiation Oncology,
Springfield, IL 62781-1032

Ph: (217) 528-7541

Reviews and Comments


Radiology Doctors in Springfield, IL

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Danielle Hawthorne,
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Phone: 217-814-5187    Fax: 217-757-6458

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.