Randy C Michael, DO is a medicare enrolled "Emergency Medicine" physician in Cannon Afb, New Mexico. His current practice location is
224 W Dl Ingram Avenue, Building 1408, Cannon Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 784-2778.
Randy C Michael is licensed to practice in New Mexico (license number DO2024-0053) 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 1922637578.
Physician's Profile
| Full Name | Randy C Michael |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 224 W Dl Ingram Avenue, Cannon Afb, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922637578
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012311574
- Enrollment ID: I20240805002671
Medical Identifiers
Medical identifiers for Randy C Michael such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922637578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | DO2024-0053 (New Mexico) | 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. Randy C Michael allows following entities to bill medicare on his behalf.
| Entity Name | Fedko Emergency Physicians New Mexico, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770047441 PECOS PAC ID: 4880934389 Enrollment ID: O20190320001146 |
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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. Randy C Michael 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 |
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 |
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