Chris Lee Randolph, DO is a medicare enrolled "Emergency Medicine" physician in Mayfield Heights, Ohio. His current practice location is
6780 Mayfield Rd, Mayfield Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 312-3130.
Chris Lee Randolph is licensed to practice in Ohio (license number 34.011008) 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 1326359084.
Physician's Profile
| Full Name | Chris Lee Randolph |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 6780 Mayfield Rd, Mayfield Heights, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1326359084
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 02/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476780412
- Enrollment ID: I20131218000984
Medical Identifiers
Medical identifiers for Chris Lee Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326359084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 34.011008 (Ohio) | 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. Chris Lee Randolph allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
|---|
| Entity Name | The Metrohealth System |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355 |
|---|
| Entity Name | Emergency Professional Services, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864 |
|---|
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. Chris Lee 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 |
|---|
Chris Lee Randolph, DO
18369 Jasmine Ln,
Chagrin Falls, OH 44023-4806
Ph: (614) 563-0751 | Chris Lee Randolph, DO
6780 Mayfield Rd,
Mayfield Heights, OH 44124
Ph: (440) 312-3130 |
Reviews and Comments