| Dr Randall Wayne Hall, DPM | |
|
326 Highland Park Dr, Richmond, KY 40475-3487 | |
| (859) 623-3550 | |
| (859) 623-3393 |
| Full Name | Dr Randall Wayne Hall |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 26 Years |
| Location | 326 Highland Park Dr, Richmond, Kentucky |
| 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 |
|---|---|---|---|
| 1215935671 | NPI | - | NPPES |
| 80000185 | Medicaid | KY | |
| 000000330836 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 274 (Kentucky) | Secondary |
| 213E00000X | Podiatrist | 244161 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marcum And Wallace Memorial Hospital | Irvine, KY | Hospital |
| Provider Name | Bluegrass Foot And Ankle Care Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598896334 PECOS PAC ID: 4183605223 Enrollment ID: O20040526000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Wayne Hall, DPM 326 Highland Park Dr, Richmond, KY 40475-3487 Ph: (859) 623-3550 | Dr Randall Wayne Hall, DPM 326 Highland Park Dr, Richmond, KY 40475-3487 Ph: (859) 623-3550 |
Upperline Healthcare Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 115 N Keeneland Dr, Richmond, KY 40475 Phone: 859-623-6157 | |
Bluegrass Foot And Ankle Care, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 326 Highland Park Dr, Richmond, KY 40475 Phone: 859-623-3550 | |
Bluegrass Foot And Ankle Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 326 Highland Park Dr, Richmond, KY 40475 Phone: 859-623-3550 |