Dr Laura C Randolph, MD | |
2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | |
(309) 664-6222 | |
(309) 664-5006 |
Full Name | Dr Laura C Randolph |
---|---|
Gender | Female |
Speciality | Plastic And Reconstructive Surgery |
Experience | 28 Years |
Location | 2502 E Empire St, Bloomington, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710906557 | NPI | - | NPPES |
036100030 | Medicaid | IL | |
097565 | Other | IL | HEALTH ALLIANCE |
P00193845 | Other | IL | RURAL MEDICARE |
5732066 | Other | IL | BLUE CROSS BLUE SHIELD |
686867 | Other | IL | HEALTH LINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 36-100030 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Entity Name | Laura C Randolph Md Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255527727 PECOS PAC ID: 0547239667 Enrollment ID: O20040927000406 |
Mailing Address | Practice Location Address |
---|---|
Dr Laura C Randolph, MD 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 Ph: (309) 664-6222 | Dr Laura C Randolph, MD 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 Ph: (309) 664-6222 |
Dr. Otis George Allen, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 Holiday Dr, Bloomington, IL 61704 Phone: 309-827-3881 Fax: 309-661-0234 | |
Dr. Paige C. Holt, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-4444 Fax: 309-664-5006 | |
Dr. Chad Tattini, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-1007 Fax: 309-664-5006 |