| Randall E Dooley, MD | |
|
3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | |
| (618) 641-5803 | |
| Not Available |
| Full Name | Randall E Dooley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 27 Years |
| Location | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, 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 |
|---|---|---|---|
| 1619940640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036115518 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Lukes Urology, Llc | 0749602712 | 7 |
| Entity Name | Urology Specialists Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619505344 PECOS PAC ID: 0749602712 Enrollment ID: O20200619001662 |
| 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 |
Samuel Carlton Haywood, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 3200, O Fallon, IL 62269 Phone: 618-489-8030 | |
Dr. Kostantinos Elias Psihramis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269 Phone: 618-641-5803 Fax: 618-641-5116 |