Randall I Kline, DPM - Medicare Podiatrist in South Bend, IN

Randall I Kline, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in South Bend, Indiana. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice The South Bend Clinic Llc and his current practice location is 211 N Eddy St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 247-4667.

Randall I Kline is licensed to practice in Indiana (license number 07000940A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659366276.

Contact Information

Randall I Kline, DPM
211 N Eddy St,
South Bend, IN 46617-3096
(574) 247-4667
(574) 271-4458

Map and Direction




Healthcare Provider's Profile

Full NameRandall I Kline
GenderMale
SpecialityPodiatry
Experience24 Years
Location211 N Eddy St, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randall I Kline graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1659366276
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 03/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082674031
  • Enrollment ID: I20100806000719

Medical Identifiers

Medical identifiers for Randall I Kline such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659366276NPI-NPPES
07000940AOtherINLICENSE
200471400MedicaidIN
P00131601OtherGARR MEDICARE
000000891332OtherINANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 07000940A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The South Bend Clinic Llc3779577937174

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. Randall I Kline allows following entities to bill medicare on his behalf.
Provider NameThe South Bend Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439
Provider NameAllied Physicians Of Michiana, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508191768
PECOS PAC ID: 4486627601
Enrollment ID: O20091216000468

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. Randall I Kline 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 AddressPractice Location Address
Randall I Kline, DPM
211 N Eddy St,
South Bend, IN 46617-3096

Ph: (574) 247-4667
Randall I Kline, DPM
211 N Eddy St,
South Bend, IN 46617-3096

Ph: (574) 247-4667

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.