| Dr Randy Eugene Oliver, MD | |
|
1203 W 10th St, Metropolis, IL 62960-2433 | |
| (618) 524-3795 | |
| (618) 524-3211 |
| Full Name | Dr Randy Eugene Oliver |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1203 W 10th St, Metropolis, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245219443 | NPI | - | NPPES |
| 0006400033 | Other | IL | BCBS OF ILLINOIS |
| 000000042814 | Other | KY | ANTHEM BCBS OF KENTUCKY |
| 080175942 | Other | RAILROAD MEDICARE | |
| 1245219443 | Medicaid | IL | |
| 036066914 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036066914 (Illinois) | Primary |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Eugene Oliver, MD 1203 W 10th St, Metropolis, IL 62960-2433 Ph: (618) 524-3795 | Dr Randy Eugene Oliver, MD 1203 W 10th St, Metropolis, IL 62960-2433 Ph: (618) 524-3795 |
Mete Altug, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1204 W 10th St, Metropolis, IL 62960 Phone: 618-524-2284 | |
Timothy William Cox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 270-575-5990 | |
Dr. Thomas Waldon Staton, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 28 Chick St Ste 100, Metropolis, IL 62960 Phone: 618-524-8381 Fax: 618-638-1316 | |
Jonathan E Walters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Chick St Ste 100, Metropolis, IL 62960 Phone: 618-638-1343 Fax: 618-638-1340 | |
Yusheng Dong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 W 10th St Ste C, Metropolis, IL 62960 Phone: 618-524-2182 Fax: 618-524-2451 |