Randall Robert Haase, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Clarksville, Tennessee. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1985 and has 39 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Cumberland Pathology Associates Pllc and his current practice location is
1771 Madison St, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 551-1939.
Randall Robert Haase is licensed to practice in Tennessee (license number 970) 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 1720050594.
Physician's Profile
| Full Name | Randall Robert Haase |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 39 Years |
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| Location | 1771 Madison St, Clarksville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Randall Robert Haase attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1985
NPI Data:
- NPI Number: 1720050594
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 02/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658479936
- Enrollment ID: I20100325000128
Medical Identifiers
Medical identifiers for Randall Robert Haase such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720050594 | NPI | - | NPPES |
| 3303676 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 970 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cumberland Pathology Associates Pllc | 6305944687 | 3 |
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 Robert Haase allows following entities to bill medicare on his behalf.
| Entity Name | Cumberland Pathology Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568434256
PECOS PAC ID: 6305944687
Enrollment ID: O20070611000213 |
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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 Robert Haase 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 |
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Randall Robert Haase, MD
Po Box 30309,
Charleston, SC 29417-0309
Ph: (843) 554-9300 | Randall Robert Haase, MD
1771 Madison St,
Clarksville, TN 37043-4990
Ph: (931) 551-1939 |
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