Dr Thomas Sullivan Randall, MD in Anaheim, CA

Dr Thomas Sullivan Randall, MD is a medicare enrolled "Family Medicine" physician in Anaheim, California. His current practice location is 1211 W La Palma Ave Ste 404, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 772-8282.

Dr Thomas Sullivan Randall is licensed to practice in California (license number A180340) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598329575.

Contact Information

	Dr Thomas Sullivan Randall, MD
	1211 W La Palma Ave Ste 404, Anaheim, CA 92801-2806
	(714) 772-8282
	(714) 772-6493

Map and Direction

Physician's Profile

Full Name	Dr Thomas Sullivan Randall
Gender	Male
Speciality	Family Medicine
Location	1211 W La Palma Ave Ste 404, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598329575
Provider Enumeration Date: 04/25/2019
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6608251640
Enrollment ID: I20220912003620

Medical Identifiers

Medical identifiers for Dr Thomas Sullivan Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598329575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A180340 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	A180340 (California)	Primary

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 Thomas Sullivan Randall allows following entities to bill medicare on his behalf.

Entity Name	Chest And Critical Care Consultants A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598852717 PECOS PAC ID: 7911987961 Enrollment ID: O20040721001161

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 Thomas Sullivan Randall 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
Dr Thomas Sullivan Randall, MD Po Box 15090, Anaheim, CA 92803-5090 Ph: (714) 772-8282	Dr Thomas Sullivan Randall, MD 1211 W La Palma Ave Ste 404, Anaheim, CA 92801-2806 Ph: (714) 772-8282

Reviews and Comments

Family Medicine Doctors in Anaheim, CA

Dino A. Imperial, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Lance C. Brunner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Marites Mcmurtrey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Steven Chao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804 Phone: 714-995-5471 Fax: 714-995-5815
Edmond K Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804 Phone: 714-952-0203 Fax: 714-952-1387
Warren U. Wong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Jeff D. Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800

Dr Thomas Sullivan Randall, MD - Medicare Family Medicine in Anaheim, CA