Mrs Kaylyn Pratt Randall, PA is a medicare enrolled "Physician Assistant" provider in San Antonio, Texas. Her current practice location is
5430 Fredericksburg Rd Ste 508, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 541-8281.
Mrs Kaylyn Pratt Randall is licensed to practice in Texas (license number PA15743) 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 1013313063.
Healthcare Provider's Profile
Full Name | Mrs Kaylyn Pratt Randall |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5430 Fredericksburg Rd Ste 508, San Antonio, Texas |
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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: 1013313063
- Provider Enumeration Date: 11/18/2014
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214316116
- Enrollment ID: I20220623002021
Medical Identifiers
Medical identifiers for Mrs Kaylyn Pratt Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013313063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2027 (Oklahoma) | Secondary |
363A00000X | Physician Assistant | PA15743 (Texas) | 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. Mrs Kaylyn Pratt Randall 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 |
Mrs Kaylyn Pratt Randall, PA 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 Ph: (210) 541-8281 | Mrs Kaylyn Pratt Randall, PA 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 Ph: (210) 541-8281 |
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