Dr Randall Joseph Phillips, MD - Medicare Diagnostic Radiology in Fort Wayne, IN

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Dr Randall Joseph Phillips, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Wayne, Indiana. He went to University Of Wisconsin School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Decatur County Memorial Hospital, Henry County Memorial Hospital, Summit Radiology Pc, X-ray Physicians Of Shelbyville Pc, Summit Radiology Pc, X-ray Physicians Of Shelbyville Pc and his current practice location is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-1568.

Dr Randall Joseph Phillips is licensed to practice in Indiana (license number 01042709) 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 1124099395.

Contact Information

Dr Randall Joseph Phillips, MD
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701
(260) 432-1568
(260) 432-4969

Map and Direction




Physician's Profile

Full NameDr Randall Joseph Phillips
GenderMale
SpecialityDiagnostic Radiology
Experience35 Years
Location5001 Us Highway 30 W Ste D, Fort Wayne, Indiana
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 Joseph Phillips attended and graduated from University Of Wisconsin School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1124099395
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 06/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2769432855
  • Enrollment ID: I20050126000859

Medical Identifiers

Medical identifiers for Dr Randall Joseph Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124099395NPI-NPPES
1124099395MedicaidMI
100389260MedicaidIN
2038280MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 01042709 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kosciusko Community HospitalWarsaw, INHospital
Adams Memorial HospitalDecatur, INHospital
The Orthopaedic Hospital Of Lutheran Health NetworFort wayne, INHospital
Lutheran Hospital Of IndianaFort wayne, INHospital
Memorial HospitalLogansport, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur County Memorial Hospital731583767166
Henry County Memorial Hospital6002724085112
Summit Radiology Pc014329541075
X-ray Physicians Of Shelbyville Pc226442021544
Summit Radiology Pc014329541075
X-ray Physicians Of Shelbyville Pc226442021544

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 Joseph Phillips allows following entities to bill medicare on his behalf.
Entity NameHenry County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891570537
PECOS PAC ID: 6002724085
Enrollment ID: O20031121000221
Entity NameDecatur County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952300477
PECOS PAC ID: 7315837671
Enrollment ID: O20040318001580
Entity NameX-ray Physicians Of Shelbyville Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144351347
PECOS PAC ID: 2264420215
Enrollment ID: O20040506000325
Entity NameSummit Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073584587
PECOS PAC ID: 0143295410
Enrollment ID: O20040831000152

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 Joseph Phillips 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 Joseph Phillips, MD
Po Box 80070,
Fort Wayne, IN 46898-0070

Ph: (260) 432-1568		Dr Randall Joseph Phillips, MD
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701

Ph: (260) 432-1568

Reviews and Comments


Radiology Doctors in Fort Wayne, IN

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Christopher M Wing, M.D.
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Dr. Ahdy Messiha, M.D.
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Phone: 260-432-1568    Fax: 260-432-4969
Vivek K. Sharma, M.D.
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Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818
Phone: 260-432-1568    Fax: 260-432-4969

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.