| Dr Randy Robert Heisser, MD | |
|
1508 Tombras Ave, East Ridge, TN 37412-2720 | |
| (423) 867-4969 | |
| (423) 867-4971 |
| Full Name | Dr Randy Robert Heisser |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 1508 Tombras Ave, East Ridge, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689620999 | NPI | - | NPPES |
| 4165919 | Other | TN | BCBS- TN |
| TN0104 | Other | TN | JOHN DEERE HEALTH |
| F40535 | Other | TN | HEALTHSPRINGS |
| 1515872 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26726 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Home Care, Llc | Chattanooga, TN | Home health agency |
| Erlanger Continucare Home Health | Chattanooga, TN | Home health agency |
| North Georgia Home Health Agency, An Amedysis Comp | Ringgold, GA | Home health agency |
| Hearth Hospice | Summerville, GA | Hospice |
| Hospice Of Chattanooga Inc | Chattanooga, TN | Hospice |
| Hearth, Llc | Chattanooga, TN | Hospice |
| Soddy-daisy Health Care Center | Soddy-daisy, TN | Nursing home |
| Woodland Terrace Care And Rehab | Chattanooga, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Your Good Health, Llc | 3173615838 | 14 |
| Entity Name | Your Good Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386864296 PECOS PAC ID: 3173615838 Enrollment ID: O20080806000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Robert Heisser, MD 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969 | Dr Randy Robert Heisser, MD 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969 |
Dr. Kenneth W Patric Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 Mcbrien Rd, East Ridge, TN 37412 Phone: 423-875-0700 | |
Dr. Bruce Allen Pendley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 |