Ms Michelle Marie Randolph, LCSW in Fresno, CA - Medicare Social Worker Provider

Ms Michelle Marie Randolph, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. Her current practice location is 5070 N 6th St Ste 105, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 304-3422.

Ms Michelle Marie Randolph is licensed to practice in California (license number 21336) 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 1649395872.

Contact Information

	Ms Michelle Marie Randolph, LCSW
	5070 N 6th St Ste 105, Fresno, CA 93710-7504
	(559) 304-3422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Michelle Marie Randolph
Gender	Female
Speciality	Social Worker - Clinical
Location	5070 N 6th St Ste 105, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649395872
Provider Enumeration Date: 03/20/2007
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8022919083
Enrollment ID: I20040114000378

Medical Identifiers

Medical identifiers for Ms Michelle Marie Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649395872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21336 (California)	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. Ms Michelle Marie Randolph allows following entities to bill medicare on her behalf.

Entity Name	Reedley Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336167550 PECOS PAC ID: 0941460984 Enrollment ID: O20201224000078

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. Ms Michelle Marie 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
Ms Michelle Marie Randolph, LCSW 373 E Shaw Ave # 140, Fresno, CA 93710-7609 Ph: (559) 304-3422	Ms Michelle Marie Randolph, LCSW 5070 N 6th St Ste 105, Fresno, CA 93710-7504 Ph: (559) 304-3422

Reviews and Comments

Social Worker in Fresno, CA

Jodi Marr, AA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 M St, Fresno, CA 93721 Phone: 559-457-3940
Mrs. Stephanie Ann Cocci, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Building 12-hchv, Fresno, CA 93703 Phone: 559-351-0459
Mrs. Allyson Jennifer Torres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1156 W Escalon Ave, Fresno, CA 93711 Phone: 559-210-4525
Samantha Oleson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Roberts Ave, Fresno, CA 93710 Phone: 559-355-7207
Ms. Lynn Lirette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5740 N Palm, #105, Fresno, CA 93704 Phone: 559-224-8419 Fax: 559-431-1951
Ms. Irene Alice Aparicio, MS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 W Bullard Ave, Suite 145, Fresno, CA 93711 Phone: 559-439-1534
Ms. Johanna Carroll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 M St, Fresno, CA 93721 Phone: 559-237-4706

Ms Michelle Marie Randolph, LCSW - Medicare Clinical Social Worker in Fresno, CA