Randolph Beasley, in Bakersfield, CA - Medicare Marriage & Family Therapist Provider

Randolph Beasley, is a medicare enrolled "Marriage & Family Therapist" provider in Bakersfield, California. His current practice location is 12200 Lincolnshire Dr, Bakersfield, California. You can reach out to his office (for appointments etc.) via phone at (530) 522-8489.

Randolph Beasley is licensed to practice in California (license number 120092) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992103170.

Contact Information

	Randolph Beasley,
	12200 Lincolnshire Dr, Bakersfield, CA 93311-9582
	(530) 522-8489
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randolph Beasley
Gender	Male
Speciality	Marriage & Family Therapist
Location	12200 Lincolnshire Dr, Bakersfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992103170
Provider Enumeration Date: 12/20/2014
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9830541952
Enrollment ID: I20240113000609

Medical Identifiers

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

Identifier	Type	State	Issuer
1992103170	NPI	-	NPPES
#95-2633765	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	207210 (Alaska)	Secondary
106H00000X	Marriage & Family Therapist	120092 (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. Randolph Beasley allows following entities to bill medicare on his behalf.

Entity Name	Clinica Sierra Vista
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861494338 PECOS PAC ID: 3870407505 Enrollment ID: O20031117000928

Entity Name	Clinica Sierra Vista
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740439314 PECOS PAC ID: 3870407505 Enrollment ID: O20090304000620

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. Randolph Beasley 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
Randolph Beasley, 12200 Lincolnshire Dr, Bakersfield, CA 93311-9582 Ph: (530) 522-8489	Randolph Beasley, 12200 Lincolnshire Dr, Bakersfield, CA 93311-9582 Ph: (530) 522-8489

Reviews and Comments

Marriage & Family Therapist in Bakersfield, CA

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Randolph Beasley, - Medicare Couples Therapy in Bakersfield, CA