Randall L Simonsen, MD PA - Medicare Pathology in Kingsville, TX

Randall L Simonsen, MD PA is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Kingsville, Texas. He went to University Of Pittsburgh School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Pathology. His current practice location is 1311 General Cavazos Blvd, Kingsville, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 595-1661.

Randall L Simonsen is licensed to practice in Texas (license number H8840) 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 1235261082.

Contact Information

Randall L Simonsen, MD PA
1311 General Cavazos Blvd,
Kingsville, TX 78363-7129
(361) 595-1661
Not Available

Map and Direction




Physician's Profile

Full NameRandall L Simonsen
GenderMale
SpecialityPathology
Experience45 Years
Location1311 General Cavazos Blvd, Kingsville, Texas
Accepts Medicare AssignmentsYes. 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 L Simonsen attended and graduated from University Of Pittsburgh School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1235261082
  • Provider Enumeration Date: 03/09/2007
  • Last Update Date: 10/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4688604697
  • Enrollment ID: I20050819000122

Medical Identifiers

Medical identifiers for Randall L Simonsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235261082NPI-NPPES
00U07WMedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology H8840 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Spohn Hospital AliceAlice, TXHospital
Christus Spohn Hospital KlebergKingsville, TXHospital
Christus Spohn Hospital BeevilleBeeville, TXHospital

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 L Simonsen allows following entities to bill medicare on his behalf.
Entity NameRandall L Simonsen, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679818595
PECOS PAC ID: 7416170063
Enrollment ID: O20140529000151

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 L Simonsen 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 L Simonsen, MD PA
15210 Cartagena Ct,
Corpus Christi, TX 78418-6914

Ph: (361) 779-8813
Randall L Simonsen, MD PA
1311 General Cavazos Blvd,
Kingsville, TX 78363-7129

Ph: (361) 595-1661

Reviews and Comments


Pathology Doctors in Kingsville, TX

Deanna Justice Reynolds, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1311 General Cavazos Blvd, Lab - Christus Spohn Hospital Kleberg, Kingsville, TX 78363
Phone: 361-595-9743    

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.