| Dr Jacob Russell Randich, DPM | |
|
203 Plaza Drive, Sikeston, MO 63801 | |
| (573) 475-6488 | |
| (573) 475-6489 |
| Full Name | Dr Jacob Russell Randich |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 6 Years |
| Location | 203 Plaza Drive, Sikeston, Missouri |
| 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 |
|---|---|---|---|
| 1922668755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 135.001050 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Delta Home Health | Sikeston, MO | Home health agency |
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Delta Medical Center | 1355252891 | 128 |
| Provider Name | Missouri Delta Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Russell Randich, DPM 203 Plaza Drive, Sikeston, MO 63801 Ph: (573) 475-6488 | Dr Jacob Russell Randich, DPM 203 Plaza Drive, Sikeston, MO 63801 Ph: (573) 475-6488 |
Dr. Hugh Raymond Protzel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 522 Virginia St, Sikeston, MO 63801 Phone: 573-472-2202 Fax: 573-472-3720 | |
Accent Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 522 Virginia St, Sikeston, MO 63801 Phone: 573-472-2202 Fax: 573-472-3720 | |
Dr. Douglas S. Foltz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-431-0330 Fax: 573-471-0461 | |
Dr. Kelley D. Foltz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 |