Randolph Mcconnie, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Hazel Crest, Illinois. He went to Albany Medical College Of Union University and graduated in 1981 and has 45 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Rush University Medical Group and his current practice location is
17850 Kedzie Ave, 3200, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 798-8112.
Randolph Mcconnie is licensed to practice in Illinois (license number 036-079072) 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 1770580706.
Physician's Profile
| Full Name | Randolph Mcconnie |
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| Gender | Male |
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| Speciality | Gastroenterology |
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| Experience | 45 Years |
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| Location | 17850 Kedzie Ave, Hazel Crest, Illinois |
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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. |
Medical Education and Training:
- Randolph Mcconnie attended and graduated from Albany Medical College Of Union University in 1981
NPI Data:
- NPI Number: 1770580706
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 11/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466418553
- Enrollment ID: I20041209000992
Medical Identifiers
Medical identifiers for Randolph Mcconnie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770580706 | NPI | - | NPPES |
| 036079072 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RG0100X | Internal Medicine - Gastroenterology | 036079072 (Illinois) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 036-079072 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Rush University Medical Group | 5496658874 | 1501 |
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. Randolph Mcconnie allows following entities to bill medicare on his behalf.
| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
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| Entity Name | Rush University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
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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. Randolph Mcconnie 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 |
Randolph Mcconnie, MD Po Box 967, Tinley Park, IL 60477-0967 Ph: () - | Randolph Mcconnie, MD 17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 Ph: (708) 798-8112 |
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