Randall E Dooley, MD is a medicare enrolled "Urology" physician in O Fallon, Illinois. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Urology. He is a member of the group practice St. Lukes Urology, Llc and his current practice location is
3 Saint Elizabeth Blvd Ste 5000, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 641-5803.
Randall E Dooley is licensed to practice in Illinois (license number 036115518) 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 1619940640.
Physician's Profile
| Full Name | Randall E Dooley |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 26 Years |
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| Location | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, Illinois |
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| Accepts Medicare Assignments | Yes. 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 E Dooley graduated from medical school in 1999
NPI Data:
- NPI Number: 1619940640
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 03/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022083526
- Enrollment ID: I20230209001437
Medical Identifiers
Medical identifiers for Randall E Dooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619940640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 036115518 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St. Lukes Urology, Llc | 0749602712 | 7 |
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 E Dooley allows following entities to bill medicare on his behalf.
| Entity Name | Urology Specialists Of St Lukes Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619505344 PECOS PAC ID: 0749602712 Enrollment ID: O20200619001662 |
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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 E Dooley 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 |
Randall E Dooley, MD 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 Ph: (618) 641-5803 | Randall E Dooley, MD 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 Ph: (618) 641-5803 |
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