Randall George Brundage, DO in Peckville, PA

Randall George Brundage, DO is a medicare enrolled "Internal Medicine" physician in Peckville, Pennsylvania. His current practice location is 320 Keystone Ave, Peckville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 489-0871.

Randall George Brundage is licensed to practice in Pennsylvania (license number 05005830L) 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 1053381590.

Contact Information

	Randall George Brundage, DO
	320 Keystone Ave, Peckville, PA 18452-2242
	(570) 489-0871
	(570) 489-8021

Map and Direction

Physician's Profile

Full Name	Randall George Brundage
Gender	Male
Speciality	Internal Medicine
Location	320 Keystone Ave, Peckville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053381590
Provider Enumeration Date: 01/26/2006
Last Update Date: 06/06/2014

Medicare PECOS Information:

PECOS PAC ID: 9133202625
Enrollment ID: I20100617000637

Medical Identifiers

Medical identifiers for Randall George Brundage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053381590	NPI	-	NPPES
001162200	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	05005830L (Pennsylvania)	Primary

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 George Brundage allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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 George Brundage 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 George Brundage, DO 320 Keystone Ave, Peckville, PA 18411-2242 Ph: (570) 489-0871	Randall George Brundage, DO 320 Keystone Ave, Peckville, PA 18452-2242 Ph: (570) 489-0871

Reviews and Comments

Internal Medicine Doctors in Peckville, PA

Dr. Rajan Mulloth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236 Fax: 570-383-3681
Anthony William Freda, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021
Meena Desai, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 Depot Street, Peckville, PA 18452 Phone: 570-383-7233 Fax: 570-489-2802
Kevin G Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021
Dr. Frank M Moro, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236

Randall George Brundage, DO - Medicare Internal Medicine in Peckville, PA