Randall Tobler, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Memphis, Missouri. His current practice location is
Sigler Ave, R1, Memphis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 465-2828.
Randall Tobler is licensed to practice in Missouri (license number R2F89) 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 1639190069.
Physician's Profile
| Full Name | Randall Tobler |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | Sigler Ave, Memphis, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639190069
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 03/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 0042218711
- Enrollment ID: I20061114000214
Medical Identifiers
Medical identifiers for Randall Tobler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639190069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | R2F89 (Missouri) | 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 Tobler allows following entities to bill medicare on his behalf.
| Entity Name | Macon County Samaritan Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548215106
PECOS PAC ID: 1456261395
Enrollment ID: O20040121000179 |
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| Entity Name | Scotland County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205844982
PECOS PAC ID: 8224940366
Enrollment ID: O20040923000249 |
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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 Tobler 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 Tobler, MD
R1 Box 54, Sigler Ave,
Memphis, MO 63555
Ph: (660) 465-2828 | Randall Tobler, MD
Sigler Ave, R1,
Memphis, MO 63555
Ph: (660) 465-2828 |
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