Carla Marta Randolph, DDS is a medicare enrolled "Dentist - General Practice" provider in Onsted, Michigan. Her current practice location is
7555 Us12, Onsted, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 467-4423.
Carla Marta Randolph is licensed to practice in Michigan (license number 2901019520) 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 1255534558.
Healthcare Provider's Profile
Full Name | Carla Marta Randolph |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 7555 Us12, Onsted, Michigan |
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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: 1255534558
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 10/24/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517282957
- Enrollment ID: I20150206001029
Medical Identifiers
Medical identifiers for Carla Marta Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255534558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901019520 (Michigan) | Primary |
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. Carla Marta 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 |
Carla Marta Randolph, DDS 3439 Douglas Rd, Williamston, MI 48895-9504 Ph: (517) 614-4599 | Carla Marta Randolph, DDS 7555 Us12, Onsted, MI 49265-9822 Ph: (517) 467-4423 |
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