Randall D Grant, DO - Medicare Emergency Medicine in Evergreen Park, IL

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Randall D Grant, DO is a medicare enrolled "Emergency Medicine" physician in Evergreen Park, Illinois. His current practice location is 2800 W 95th St, Evergreen Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (518) 542-0860.

Randall D Grant is licensed to practice in Illinois (license number 036142144) 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 1528370624.

Contact Information

Randall D Grant, DO
2800 W 95th St,
Evergreen Park, IL 60805-2701
(518) 542-0860
Not Available

Map and Direction




Physician's Profile

Full NameRandall D Grant
GenderMale
SpecialityEmergency Medicine
Location2800 W 95th St, Evergreen Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528370624
  • Provider Enumeration Date: 07/06/2010
  • Last Update Date: 09/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0840451902
  • Enrollment ID: I20160204002199

Medical Identifiers

Medical identifiers for Randall D Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528370624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036142144 (Illinois)Primary
207P00000XEmergency Medicine 02007636A (Indiana)Secondary
207P00000XEmergency Medicine 34.014212 (Ohio)Secondary

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 D Grant allows following entities to bill medicare on his behalf.
Entity NameWhite Plains Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003089491
PECOS PAC ID: 4981593092
Enrollment ID: O20040420001230

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 D Grant 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 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

Reviews and Comments


Emergency Medicine Doctors in Evergreen Park, IL

Mahir Mameledzija, MD
Emergency Medicine
Medicare: Medicare Enrolled
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: Accepting Medicare Assignments
Practice Location: 2800 W 95th St, Evergreen Park, IL 60805
Phone: 708-422-4221    Fax: 708-422-4415

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.