| Grant Jeffrey Randall, MD | |
|
601 Nw Obrien Rd, Lees Summit, MO 64063-1806 | |
| (816) 287-1528 | |
| (343) 503-0640 |
| Full Name | Grant Jeffrey Randall |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 6 Years |
| Location | 601 Nw Obrien Rd, Lees Summit, Missouri |
| 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 |
|---|---|---|---|
| 1245793728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2024001206 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Dermatology And Surgery Group Pc | 3870856669 | 7 |
| Entity Name | Cornerstone Dermatology & Surgery Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114427739 PECOS PAC ID: 3870856669 Enrollment ID: O20180713000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Jeffrey Randall, MD 601 Nw Obrien Rd, Lees Summit, MO 64063-1806 Ph: (816) 287-1528 | Grant Jeffrey Randall, MD 601 Nw Obrien Rd, Lees Summit, MO 64063-1806 Ph: (816) 287-1528 |
Nicholas Joseph Golda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 913-907-2496 | |
Julie Ann Green, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 913-451-7546 Fax: 816-524-4929 | |
Theresa Katherine Mattingly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929 | |
Araya Zaesim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-454-3424 | |
Sheldon Sebastian, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-524-4747 Fax: 816-524-4929 | |
David Ryan Fieleke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1728 Ne Nine Oaks Dr, Lees Summit, MO 64086 Phone: 573-356-7265 |