Mrs Phadadria Michele Randall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hopatcong, New Jersey. Her current practice location is
310 Elmira Trl, Hopatcong, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 503-7770.
Mrs Phadadria Michele Randall is licensed to practice in New Jersey (license number 44SC06262900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730761479.
Healthcare Provider's Profile
Full Name | Mrs Phadadria Michele Randall |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 310 Elmira Trl, Hopatcong, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730761479
- Provider Enumeration Date: 04/22/2021
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224415757
- Enrollment ID: I20220522000015
Medical Identifiers
Medical identifiers for Mrs Phadadria Michele Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730761479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 44SC06262900 (New Jersey) | Primary |
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. Mrs Phadadria Michele Randall allows following entities to bill medicare on her behalf.
Entity Name | Middlesex Psychiatry & Tms Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053971572 PECOS PAC ID: 7315334000 Enrollment ID: O20220427002709 |
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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. Mrs Phadadria Michele Randall 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 |
Mrs Phadadria Michele Randall, LCSW 140 State Route 10 # 1013, Randolph, NJ 07869-1542 Ph: (201) 503-7770 | Mrs Phadadria Michele Randall, LCSW 310 Elmira Trl, Hopatcong, NJ 07843-1110 Ph: (201) 503-7770 |
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