Dr Charles D Randolph, DDS - Medicare Dentist in Mamaroneck, NY

Dr Charles D Randolph, DDS is a medicare enrolled "Dentist - General Practice" provider in Mamaroneck, New York. His current practice location is 875 Mamaroneck Ave, Suite 302, Mamaroneck, New York. You can reach out to his office (for appointments etc.) via phone at (914) 835-6004.

Dr Charles D Randolph is licensed to practice in New York (license number 028137) 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 1164589107.

Contact Information

Dr Charles D Randolph, DDS
875 Mamaroneck Ave, Suite 302,
Mamaroneck, NY 10543-1900
(914) 835-6004
(914) 835-6055

Map and Direction




Healthcare Provider's Profile

Full NameDr Charles D Randolph
GenderMale
SpecialityDentist - General Practice
Location875 Mamaroneck Ave, Mamaroneck, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164589107
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 02/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1951556117
  • Enrollment ID: I20160425002392

Medical Identifiers

Medical identifiers for Dr Charles D Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164589107NPI-NPPES
02577842MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 028137 (New York)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. Dr Charles D 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 AddressPractice Location Address
Dr Charles D Randolph, DDS
875 Mamaroneck Ave, Suite 302,
Mamaroneck, NY 10543-1900

Ph: (914) 835-6004
Dr Charles D Randolph, DDS
875 Mamaroneck Ave, Suite 302,
Mamaroneck, NY 10543-1900

Ph: (914) 835-6004

Reviews and Comments


Dentist in Mamaroneck, NY

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Dr. Burton Lorber, DMD
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Phone: 914-835-6004    
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Dr. Lydia V Mihovilovic-humes, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 875 Mamaroneck Ave, Suite 302, Mamaroneck, NY 10543
Phone: 914-835-6001    Fax: 315-515-3017

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.