| Scot Randall, DO | |
|
111 Lansing St, Suite 100, Charlotte, MI 48813-2400 | |
| (517) 541-5962 | |
| (517) 541-5963 |
| Full Name | Scot Randall |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 34 Years |
| Location | 111 Lansing St, Charlotte, Michigan |
| 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 |
|---|---|---|---|
| 1881611465 | NPI | - | NPPES |
| 4574654 | Medicaid | MI | |
| 200000002577 | Other | MI | PHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SR011391 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sparrow Eaton Hospital | Charlotte, MI | Hospital |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sparrow Eaton Hospital | 0042103509 | 36 |
| Entity Name | Sparrow Eaton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043419427 PECOS PAC ID: 0042103509 Enrollment ID: O20040213000368 |
| Entity Name | S D Consulting Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922821727 PECOS PAC ID: 6305375783 Enrollment ID: O20250130000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Scot Randall, DO 321 E Harris St, Charlotte, MI 48813-1629 Ph: (517) 543-1050 | Scot Randall, DO 111 Lansing St, Suite 100, Charlotte, MI 48813-2400 Ph: (517) 541-5962 |
Robert L Leeser, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Lansing St, Suite 3a, Charlotte, MI 48813 Phone: 517-543-0600 | |
Kimberly R Friar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Lansing St, Suite 3a, Charlotte, MI 48813 Phone: 517-543-0600 | |
Dr. Linda Murray Chermak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Lansing St, Suite 230, Charlotte, MI 48813 Phone: 517-543-5110 Fax: 517-543-9776 | |
Dr. Kassem Mahmoud Hallak, MD MS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 616 Meijer St, Charlotte, MI 48813 Phone: 517-543-7800 Fax: 517-543-7900 | |
Sally King Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S Cochran Ave, Suite C, Charlotte, MI 48813 Phone: 517-543-9095 Fax: 517-543-3339 |