Dr Cora Inettie Randle, MD is a
Internal Medicine physician based in Dover Afb, Delaware. Dr Cora Inettie Randle is licensed to practice in Pennsylvania (license number OS006857L) and her current practice location is 300 Tuskegee Blvd, Dover Afb, Delaware. She can be reached at her office (for appointments etc.) via phone at
(302) 677-2525.
NPI number for Dr Cora Inettie Randle is 1558355420 and her current mailing address is 421 Kates Way, Smyrna, Delaware. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558355420.
Physician's Profile
Full Name | Dr Cora Inettie Randle |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 300 Tuskegee Blvd, Dover Afb, Delaware |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558355420
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Cora Inettie Randle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558355420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OS006857L (Pennsylvania) | 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 Cora Inettie Randle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Cora Inettie Randle, MD 421 Kates Way, Smyrna, DE 19977-1636 Ph: (302) 659-0653 | Dr Cora Inettie Randle, MD 300 Tuskegee Blvd, Dover Afb, DE 19902-5300 Ph: (302) 677-2525 |
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