| Randall Wade Mckenna, DO | |
|
1713 S Fm 51, Suite 103, Decatur, TX 76234 | |
| (940) 627-6976 | |
| (940) 627-3491 |
| Full Name | Randall Wade Mckenna |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1713 S Fm 51, Decatur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063477552 | NPI | - | NPPES |
| 131938605 | Medicaid | TX | |
| 89Z590 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | J0118 (Texas) | Primary |
| Entity Name | North Central Texas Orthopaedics and Sports Medicine PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194781773 PECOS PAC ID: 0749277739 Enrollment ID: O20040430000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Wade Mckenna, DO 1713 S Fm 51, Suite 103, Decatur, TX 76234 Ph: (940) 627-6976 | Randall Wade Mckenna, DO 1713 S Fm 51, Suite 103, Decatur, TX 76234 Ph: (940) 627-6976 |
Robert Amadi Achilike, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Dr, Decatur, TX 76234 Phone: 940-626-2410 Fax: 940-626-2411 |
John A Ribeiro, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 W Eagle Dr, Suite B, Decatur, TX 76234 Phone: 940-627-1770 Fax: 940-627-2233 |
George Keith Gill, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Dr, Decatur, TX 76234 Phone: 940-626-2410 Fax: 940-626-2411 |
Robert K Clifford Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1851 Medical Center Dr, Decatur, TX 76234 Phone: 940-626-2410 Fax: 940-626-2411 |