Sandra Renae Randolph, AUD is a medicare enrolled "Audiologist" provider in Coos Bay, Oregon. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice North Bend Medical Center Inc and her current practice location is
1900 Woodland Dr, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 267-5151.
Sandra Renae Randolph is licensed to practice in Oregon (license number 23138) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023268968.
Healthcare Provider's Profile
| Full Name | Sandra Renae Randolph |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 16 Years |
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| Location | 1900 Woodland Dr, Coos Bay, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Renae Randolph graduated from medical school in 2008
NPI Data:
- NPI Number: 1023268968
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 12/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 3173703386
- Enrollment ID: I20110204000682
Medical Identifiers
Medical identifiers for Sandra Renae Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023268968 | NPI | - | NPPES |
| 930635514 | Other | OR | NBMC GROUP TAX ID FOR BILLING |
| R0000WFBTV | Other | OR | NBMC GROUP MEDICARE |
| 1407812365 | Other | OR | NBMC MAIN GROUP NPI |
| 161133 | Other | OR | NBMC GROUP MEDICAID-DMAP |
| 500600529 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 23138 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Bend Medical Center Inc | 5597677716 | 79 |
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. Sandra Renae Randolph allows following entities to bill medicare on her behalf.
| Provider Name | North Bend Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138 |
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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. Sandra Renae Randolph 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 Address | Practice Location Address |
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Sandra Renae Randolph, AUD
1900 Woodland Dr,
Coos Bay, OR 97420-2045
Ph: (541) 267-5151 | Sandra Renae Randolph, AUD
1900 Woodland Dr,
Coos Bay, OR 97420-2045
Ph: (541) 267-5151 |
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