Dr Randy Charles Hancock, DO is a medicare enrolled "Family Medicine" physician in Black Canyon City, Arizona. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Black Canyon Community Health Center Inc. and his current practice location is
19251 E Oasis Dr, Black Canyon City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 374-0200.
Dr Randy Charles Hancock is licensed to practice in Arizona (license number 3297) 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 1467432971.
Physician's Profile
| Full Name | Dr Randy Charles Hancock |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 19251 E Oasis Dr, Black Canyon City, Arizona |
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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 Randy Charles Hancock attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1996
NPI Data:
- NPI Number: 1467432971
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 12/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830098433
- Enrollment ID: I20040102000515
Medical Identifiers
Medical identifiers for Dr Randy Charles Hancock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467432971 | NPI | - | NPPES |
| 445917 | Medicaid | AZ | |
| Z131033 | Other | | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 3297 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Black Canyon Community Health Center Inc. | 6406900331 | 3 |
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 Randy Charles Hancock allows following entities to bill medicare on his behalf.
| Entity Name | Black Canyon Medical L.l.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164619821
PECOS PAC ID: 8527952167
Enrollment ID: O20040212000765 |
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| Entity Name | Black Canyon Community Health Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679723217
PECOS PAC ID: 6406900331
Enrollment ID: O20090812000350 |
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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 Randy Charles Hancock 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 Randy Charles Hancock, DO
Po Box 1958,
Black Canyon City, AZ 85324-1958
Ph: (623) 374-0200 | Dr Randy Charles Hancock, DO
19251 E Oasis Dr,
Black Canyon City, AZ 85324-8878
Ph: (623) 374-0200 |
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