| Randy C Michael, DO | |
|
224 W Dl Ingram Avenue, Building 1408, Cannon Afb, NM 88103 | |
| (575) 784-2778 | |
| Not Available |
| Full Name | Randy C Michael |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 1 Years |
| Location | 224 W Dl Ingram Avenue, Cannon Afb, New Mexico |
| 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 |
|---|---|---|---|
| 1922637578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO2024-0053 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Roosevelt General Hospital | Portales, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fedko Emergency Physicians New Mexico, Llc | 4880934389 | 40 |
| Entity Name | Fedko Emergency Physicians New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770047441 PECOS PAC ID: 4880934389 Enrollment ID: O20190320001146 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy C Michael, DO 224 W Dl Ingram Avenue, Building 1408, Cannon Afb, NM 88103 Ph: () - | Randy C Michael, DO 224 W Dl Ingram Avenue, Building 1408, Cannon Afb, NM 88103 Ph: (575) 784-2778 |
Dr. Anar J Patel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-904-3917 | |
Geoffrey Garst, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 W D.l. Ingram Avenue, Building 1408, Cannon Afb, NM 88103 Phone: 575-904-4035 |