| Randall Williams, MD | |
|
4021 Avenue B, Scottsbluff, NE 69361-4602 | |
| (308) 630-1919 | |
| Not Available |
| Full Name | Randall Williams |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 28 Years |
| Location | 4021 Avenue B, Scottsbluff, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538170238 | NPI | - | NPPES |
| P00386100 | Other | NE | RAILROAD MEDICARE |
| 30773 | Other | NE | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 39753 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Pathology Consultants, Pc | 9032188362 | 2 |
| Entity Name | Western Pathology Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588674980 PECOS PAC ID: 9032188362 Enrollment ID: O20041001000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Williams, MD Po Box 1886, Scottsbluff, NE 69361-1886 Ph: (308) 630-1919 | Randall Williams, MD 4021 Avenue B, Scottsbluff, NE 69361-4602 Ph: (308) 630-1919 |
Richard J Simmons, MD Pathology Medicare: Medicare Enrolled Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-630-1400 Fax: 308-632-7830 | |
Cris J. Anderson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-630-1398 Fax: 308-362-7830 | |
Peter W. Schilke, MD Pathology Medicare: Medicare Enrolled Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-630-1398 Fax: 308-632-7830 |