Individual ProviderRandy Allen BeddoeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1524 W Lacey Blvd, Suite 206, Hanford, CA 93230-5965(559) 583-4662PECOS EnrollmentBased on the most recent information from CMS, provider Randy Allen Beddoe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740267426Provider TypeIndividualFull NameBeddoe, Randy AllenCredentialMDGenderMaleSole ProprietorNoEnumeration Date12/23/2005Last Updated1/23/2013Contact InformationPractice LocationPractice Address1524 W Lacey Blvd, Suite 206, Hanford, CA 93230-5965Phone(559) 583-4662Fax(559) 583-4684Mailing LocationMailing Address1524 W Lacey Blvd, Suite 206, Hanford, CA 93230-5965Phone(559) 583-4662Fax(559) 583-4684Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseG57182CaliforniaProvider IdentifiersIDDescriptionIssuerIDG57182DescriptionOtherIssuerCALIF. LICENSECalifornia