Randall Paul Bennett, MD in Puyallup, WA

Randall Paul Bennett, MD is a medicare enrolled "Otolaryngology" physician in Puyallup, Washington. His current practice location is 104 27th Ave Se, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 770-9000.

Randall Paul Bennett is licensed to practice in Washington (license number MD22922) 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 1619907953.

Contact Information

	Randall Paul Bennett, MD
	104 27th Ave Se, Puyallup, WA 98374-1145
	(253) 770-9000
	(253) 770-9712

Map and Direction

Physician's Profile

Full Name	Randall Paul Bennett
Gender	Male
Speciality	Otolaryngology
Location	104 27th Ave Se, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619907953
Provider Enumeration Date: 07/03/2006
Last Update Date: 10/20/2015

Medicare PECOS Information:

PECOS PAC ID: 9931191962
Enrollment ID: I20100909000630

Medical Identifiers

Medical identifiers for Randall Paul Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619907953	NPI	-	NPPES
7078017	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MD22922 (Washington)	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 Paul Bennett allows following entities to bill medicare on his behalf.

Entity Name	Proliance Surgeons Inc P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128

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 Paul Bennett 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 Paul Bennett, MD Po Box 1205, Puyallup, WA 98371-0231 Ph: (253) 770-9000	Randall Paul Bennett, MD 104 27th Ave Se, Puyallup, WA 98374-1145 Ph: (253) 770-9000

Reviews and Comments

Otolaryngology Doctors in Puyallup, WA

Dr. Todd Dwyer Jones, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Benjamin Wibonele, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Dr. Dennis R. Elonka, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6415 82nd St E, Puyallup, WA 98371 Phone: 253-691-0823
Vivian Mae Yu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Julie Allina Gustafson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-848-0368 Fax: 253-435-4937
Douglas D Backous, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712

Randall Paul Bennett, MD - Medicare Otolaryngology in Puyallup, WA