| Randall D Grant, DO | |
|
2800 W 95th St, Evergreen Park, IL 60805-2701 | |
| (518) 542-0860 | |
| Not Available |
| Full Name | Randall D Grant |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| 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 |
|---|---|---|---|
| 1528370624 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Ohio - Cincinnati Professional Corp | 1850824400 | 52 |
| Emergency Professionals Of Indiana Pc | 4183604150 | 80 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Ohio Emergency Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
| Entity Name | Ohio Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio - Cincinnati Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508698739 PECOS PAC ID: 1850824400 Enrollment ID: O20241104002904 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall D Grant, DO 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (518) 542-0860 | Randall D Grant, DO 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (518) 542-0860 |
Mahir Mameledzija, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Penny Hutchinson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Francisco Rosales, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Ronald Holt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Michael O'mara, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 | |
Dr. Syed Khursheed Zaman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 W 95th St, Evergreen Park, IL 60805 Phone: 708-576-8112 Fax: 708-221-6631 | |
James Danziger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |