M Barry Randall, MD in Memphis, TN

M Barry Randall, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Memphis, Tennessee. His current practice location is 930 Madison Ave, Suite 890, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 866-8834.

M Barry Randall is licensed to practice in Tennessee (license number 29321) 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 1124002175.

Contact Information

	M Barry Randall, MD
	930 Madison Ave, Suite 890, Memphis, TN 38103-3410
	(901) 866-8834
	(901) 302-2834

Map and Direction

Physician's Profile

Full Name	M Barry Randall
Gender	Male
Speciality	Pathology - Dermatopathology
Location	930 Madison Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124002175
Provider Enumeration Date: 12/02/2005
Last Update Date: 02/25/2025

Medicare PECOS Information:

PECOS PAC ID: 3375672272
Enrollment ID: I20100603000038

Medical Identifiers

Medical identifiers for M Barry Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124002175	NPI	-	NPPES
133395001	Medicaid	AR
0121423	Medicaid	MS
1532078	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	29321 (Tennessee)	Secondary
207ZD0900X	Pathology - Dermatopathology	29321 (Tennessee)	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. M Barry Randall allows following entities to bill medicare on his behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

Entity Name	Shelby County Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780685750 PECOS PAC ID: 6608784855 Enrollment ID: O20040709001071

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. M Barry 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
M Barry Randall, MD 1068 Cresthaven Rd Ste 300, Memphis, TN 38119-0809 Ph: () -	M Barry Randall, MD 930 Madison Ave, Suite 890, Memphis, TN 38103-3410 Ph: (901) 866-8834

Reviews and Comments

Pathology Doctors in Memphis, TN

Marco Ross, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 637 Poplar Ave, Memphis, TN 38105 Phone: 901-222-4621
Armita Bahrami, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300 Fax: 901-595-3842
Dr. Andrzej T Slominski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave, Suite 500, Memphis, TN 38103 Phone: 901-725-7551 Fax: 901-725-9721
Bradly D Clark, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3495 Hacks Cross Rd, Memphis, TN 38125 Phone: 901-526-7444 Fax: 901-271-2618
Shuyu E, MD Pathology Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300
Dr. James R Downing, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105 Phone: 901-495-3006 Fax: 901-495-3842
Mufaddal Najmuddin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-227-5135

M Barry Randall, MD - Medicare Pathology in Memphis, TN