Dr Randi Wayne Hart, MD in Lynnwood, WA

Dr Randi Wayne Hart, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lynnwood, Washington. His current practice location is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 563-1500.

Dr Randi Wayne Hart is licensed to practice in Washington (license number MD60097539) 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 1497741870.

Contact Information

	Dr Randi Wayne Hart, MD
	19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748
	(425) 563-1500
	(425) 563-1501

Map and Direction

Physician's Profile

Full Name	Dr Randi Wayne Hart
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	19020 33rd Ave W Ste 210, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497741870
Provider Enumeration Date: 09/21/2005
Last Update Date: 02/21/2019

Medicare PECOS Information:

PECOS PAC ID: 8022058890
Enrollment ID: I20090904000445

Medical Identifiers

Medical identifiers for Dr Randi Wayne Hart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497741870	NPI	-	NPPES
0377781	Other	WA	L&I-RADIA KING COUNTY
0377786	Other	WA	L&I-SWEDISH RADIA EDMONDS
0377789	Other	WA	L&I-EVERGREEN RADIA
1497741870	Medicaid	ID
8552739	Medicaid	WA
0252750	Other	WA	L&I-RADIA REST OF WA
7207960	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M-12202 (Idaho)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD60097539 (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. Dr Randi Wayne Hart allows following entities to bill medicare on his behalf.

Entity Name	Inland Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20040301001171

Entity Name	Integra Imaging Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205189461 PECOS PAC ID: 1355593062 Enrollment ID: O20121204000044

Entity Name	Inland Imaging Associates Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982236469 PECOS PAC ID: 7810327210 Enrollment ID: O20200427002479

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. Dr Randi Wayne Hart 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
Dr Randi Wayne Hart, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500	Dr Randi Wayne Hart, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500

Reviews and Comments

Radiology Doctors in Lynnwood, WA

Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Frederick Farzad Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Germaine Richard Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Judson E Threlkeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501

Dr Randi Wayne Hart, MD - Medicare Radiology in Lynnwood, WA