Mary Carmen Randleman, MED, LPC in Sallisaw, OK

Mary Carmen Randleman, MED, LPC is a medicare enrolled "Counselor - Professional" provider in Sallisaw, Oklahoma. Her current practice location is 207 N Oak St Ste 5, Sallisaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 724-6449.

Mary Carmen Randleman is licensed to practice in Oklahoma (license number 4855) 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 1083875769.

Contact Information

	Mary Carmen Randleman, MED, LPC
	207 N Oak St Ste 5, Sallisaw, OK 74955-4602
	(918) 724-6449
	(918) 208-0687

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Carmen Randleman
Gender	Female
Speciality	Counselor - Professional
Location	207 N Oak St Ste 5, Sallisaw, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083875769
Provider Enumeration Date: 06/24/2008
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1254867393
Enrollment ID: I20241212000253

Medical Identifiers

Medical identifiers for Mary Carmen Randleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083875769	NPI	-	NPPES
200456660 A	Medicaid	OK
200378480	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YS0200X	Counselor - School	(* (Not Available))	Secondary
103TS0200X	Psychologist - School	229640 (Oklahoma)	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	4855 (Oklahoma)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101Y00000X	Counselor	(* (Not Available))	Secondary

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. Mary Carmen Randleman allows following entities to bill medicare on her behalf.

Entity Name	The Resilience Center Of Houston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821475039 PECOS PAC ID: 6305131517 Enrollment ID: O20160827000029

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. Mary Carmen Randleman 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
Mary Carmen Randleman, MED, LPC Po Box 1084, Sallisaw, OK 74955-1084 Ph: (918) 724-6449	Mary Carmen Randleman, MED, LPC 207 N Oak St Ste 5, Sallisaw, OK 74955-4602 Ph: (918) 724-6449

Reviews and Comments

Counselor in Sallisaw, OK

Kevin Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-775-7787
Joell Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 E Choctaw Ave, Sallisaw, OK 74955 Phone: 918-790-2292
Samantha Ronae Bumguardner, YOUTH SERVICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-775-7787 Fax: 918-775-0328
Mrs. Jennifer Luanne Spears, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1630 S Kerr Blvd, Sallisaw, OK 74955 Phone: 918-790-2653 Fax: 918-790-2657
Tammy Doty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Quesenbury Ave, Sallisaw, OK 74955 Phone: 918-775-5513 Fax: 918-775-5526
Jacqueline Taylor Richardson Padua, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 N Wheeler Ave, Sallisaw, OK 74955 Phone: 918-775-5513
Michelle Shafer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Jt Stites, Sallisaw, OK 74955 Phone: 918-775-7787

Mary Carmen Randleman, MED, LPC - Medicare Counselor in Sallisaw, OK