Randall Bruce Clark Ii, DO - Medicare Diagnostic Radiology in Cape Girardeau, MO

Randall Bruce Clark Ii, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cape Girardeau, Missouri. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Premier Diagnostic Imaging, Llc and his current practice location is 70 Doctors Park, Cape Girardeau, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 334-6071.

Randall Bruce Clark Ii is licensed to practice in Missouri (license number 2013021199) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265873111.

Contact Information

Randall Bruce Clark Ii, DO
70 Doctors Park,
Cape Girardeau, MO 63703-4928
(573) 334-6071
(573) 334-4739

Map and Direction




Physician's Profile

Full NameRandall Bruce Clark Ii
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location70 Doctors Park, Cape Girardeau, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randall Bruce Clark Ii graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1265873111
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 01/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668606476
  • Enrollment ID: I20211021002131

Medical Identifiers

Medical identifiers for Randall Bruce Clark Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265873111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2013021199 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Diagnostic Imaging, Llc49818777843

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. Randall Bruce Clark Ii allows following entities to bill medicare on his behalf.
Entity NamePremier Diagnostic Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730130345
PECOS PAC ID: 4981877784
Enrollment ID: O20111021000422

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. Randall Bruce Clark Ii 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 AddressPractice Location Address
Randall Bruce Clark Ii, DO
70 Doctors Park,
Cape Girardeau, MO 63703-4928

Ph: (573) 334-6071
Randall Bruce Clark Ii, DO
70 Doctors Park,
Cape Girardeau, MO 63703-4928

Ph: (573) 334-6071

Reviews and Comments


Radiology Doctors in Cape Girardeau, MO

Karen B Willens, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703
Phone: 573-335-6671    
Jeffrey William Boss, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703
Phone: 573-334-6071    Fax: 573-334-4739
Dr. Lance C. Faler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703
Phone: 573-334-6071    
Dr. Justin Ray Hodge, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctor's Park, Cape Girardeau, MO 63703
Phone: 573-334-6071    Fax: 573-334-4739
Abel Assefa Belay, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703
Phone: 573-334-6071    
Yuan Yuan Xie,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703
Phone: 573-334-6071    Fax: 573-334-4739
Dr. George A. Pjura, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 70 Doctors Park, Cape Girardeau, MO 63703
Phone: 573-334-6071    Fax: 573-334-4739

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.