| Randall Lee Oliver, MD | |
|
1101 Professional Blvd, Evansville, IN 47714-8016 | |
| (812) 477-7246 | |
| (812) 477-7240 |
| Full Name | Randall Lee Oliver |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 46 Years |
| Location | 1101 Professional Blvd, Evansville, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356393219 | NPI | - | NPPES |
| 000000089152 | Other | IN | ANTHEM FAMILY PRACTICE |
| 100180970A | Medicaid | IN | |
| 10643 | Other | IN | HEALTHSOURCE |
| 351865226-00 | Other | IN | PHN |
| 64872484 | Medicaid | KY | |
| 659100 | Other | IN | PRINCIPAL |
| 0000000386753 | Other | IN | ANTHEM PAIN MGMT |
| 1006173 | Other | IN | CHAMPUS |
| 169425 | Other | IN | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01029835 (Indiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1029835 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Biltmore Dermatology Llc | 0143593145 | 3 |
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Nuyou Therapies, Llc | 4587093034 | 2 |
| Pain Management Centers Of America, Psc | 2769727114 | 22 |
| Entity Name | Biltmore Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649704065 PECOS PAC ID: 0143593145 Enrollment ID: O20170913000249 |
| Entity Name | Pain Management Centers Of America Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20181213000858 |
| Entity Name | Nuyou Therapies, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437707601 PECOS PAC ID: 4587093034 Enrollment ID: O20200403000859 |
| Entity Name | Regional Healthcare Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407587363 PECOS PAC ID: 8224412234 Enrollment ID: O20230615001325 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Lee Oliver, MD Po Box 5249, Evansville, IN 47716-5249 Ph: (812) 477-7246 | Randall Lee Oliver, MD 1101 Professional Blvd, Evansville, IN 47714-8016 Ph: (812) 477-7246 |
Dr. Mahendra R. Sanapati, M.D. Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 1101 Professional Blvd, Ste 100, Evansville, IN 47714 Phone: 812-477-7246 Fax: 812-477-7240 | |
Patricia A. Borst, NP-C Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 1101 Professional Blvd Ste 100, Evansville, IN 47714 Phone: 812-477-7246 Fax: 812-477-7240 | |
Mansoor A Khan, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4411 Washington Ave, Suite 100, Evansville, IN 47714 Phone: 888-901-7246 Fax: 877-598-6856 | |
Marressa Ruth Henderson, PA-C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Professional Blvd, Evansville, IN 47714 Phone: 812-477-7246 | |
Joseph Folz, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Kimber Lane, Evansville, IN 47715 Phone: 812-476-7111 Fax: 812-476-7117 | |
Katherine Williams, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Kimber Lane, Evansville, IN 47715 Phone: 812-476-7111 Fax: 812-476-7117 |