Kandys Randolph, in Freehold, NJ - Medicare Counselor Provider

Kandys Randolph, is a medicare enrolled "Counselor" provider in Freehold, New Jersey. Her current practice location is 303 W Main St Ste 350, Freehold, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 393-8391.

Kandys Randolph is licensed to practice in New Jersey (license number 37PC00682500) 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 1629644141.

Contact Information

	Kandys Randolph,
	303 W Main St Ste 350, Freehold, NJ 07728-4832
	(732) 393-8391
	(732) 308-4500

Map and Direction

Healthcare Provider's Profile

Full Name	Kandys Randolph
Gender	Female
Speciality	Counselor
Location	303 W Main St Ste 350, Freehold, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629644141
Provider Enumeration Date: 06/03/2021
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5193263077
Enrollment ID: I20240812000897

Medical Identifiers

Medical identifiers for Kandys Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629644141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	37PC00682500 (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. Kandys Randolph allows following entities to bill medicare on her behalf.

Entity Name	Tree Of Life Counseling Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841711306 PECOS PAC ID: 2668848425 Enrollment ID: O20221019001008

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. Kandys 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
Kandys Randolph, 303 W Main St Ste 350, Freehold, NJ 07728-4832 Ph: (732) 393-8391	Kandys Randolph, 303 W Main St Ste 350, Freehold, NJ 07728-4832 Ph: (732) 393-8391

Reviews and Comments

Counselor in Freehold, NJ

Chase Girvin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 63 W Main St Ste A-5, Freehold, NJ 07728 Phone: 732-810-3942
Emily Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Main St Ste 350, Freehold, NJ 07728 Phone: 732-393-8391 Fax: 732-308-4500
Christine Ann Isaac, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 2 Market Yard Ste 1, Freehold, NJ 07728 Phone: 732-393-8391 Fax: 732-333-0241
Nicole Messink, LPC Counselor Medicare: Medicare Enrolled Practice Location: 80 Scenic Dr Ste 8, Freehold, NJ 07728 Phone: 732-538-8424
Heather Gibson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3499 Rte 9 Ste 2c, Freehold, NJ 07728 Phone: 732-982-2888 Fax: 847-859-5885
Ms. Jennifer Lorraine Lawrence, LPC, LPAT, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Glendale Dr, Freehold, NJ 07728 Phone: 720-771-6933
Susan Udovic, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Court St, Freehold, NJ 07728 Phone: 732-780-7387 Fax: 732-780-5157

Kandys Randolph, - Medicare Counselor in Freehold, NJ