Dr Tommy Lavaughn Randolph, MD in Lake City, FL

Dr Tommy Lavaughn Randolph, MD is a medicare enrolled "Family Medicine" physician in Lake City, Florida. He went to University Of Florida College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. His current practice location is 1847 Sw Barnett Way, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 755-1440.

Dr Tommy Lavaughn Randolph is licensed to practice in Florida (license number ME46235) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992805881.

Contact Information

	Dr Tommy Lavaughn Randolph, MD
	1847 Sw Barnett Way, Lake City, FL 32025-6957
	(386) 755-1440
	(386) 758-5628

Map and Direction

Physician's Profile

Full Name	Dr Tommy Lavaughn Randolph
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	1847 Sw Barnett Way, Lake City, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tommy Lavaughn Randolph attended and graduated from University Of Florida College Of Medicine in 1982

NPI Data:

NPI Number: 1992805881
Provider Enumeration Date: 09/22/2006
Last Update Date: 01/03/2014

Medicare PECOS Information:

PECOS PAC ID: 9537294350
Enrollment ID: I20110223000908

Medical Identifiers

Medical identifiers for Dr Tommy Lavaughn Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992805881	NPI	-	NPPES
12070	Other	FL	BCBS
080154675	Other	FL	RRMEDICARE
030335	Other	FL	AVMED
1992805881	Other	FL	NPI
041374700	Medicaid	FL
0004055514	Other	FL	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME46235 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Suncrest Omni	Crystal river, FL	Home health agency
Lake City Medical Center	Lake city, FL	Hospital

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. Dr Tommy Lavaughn Randolph allows following entities to bill medicare on his behalf.

Entity Name	Randolph Medical Practices Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144320052 PECOS PAC ID: 3779763503 Enrollment ID: O20110210000477

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 Tommy Lavaughn 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
Dr Tommy Lavaughn Randolph, MD 1847 Sw Barnett Way, Lake City, FL 32025-6957 Ph: (386) 755-1440	Dr Tommy Lavaughn Randolph, MD 1847 Sw Barnett Way, Lake City, FL 32025-6957 Ph: (386) 755-1440

Reviews and Comments

Family Medicine Doctors in Lake City, FL

Dr. Rafael Angel Gonzalez Castro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6352
Todd A Fife, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 Fax: 386-758-6140
Dr. Richard L Wright Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Sw Stonegate Ter Ste 101, Lake City, FL 32024 Phone: 386-755-0421 Fax: 386-487-1234
Dr. John M Caroline, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7395
Dr. Juan Ramon Santiagocolon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7375
Dr. Robert E Bell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-719-3622
Dr. Harish Ram Kotipoyina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000

Dr Tommy Lavaughn Randolph, MD - Medicare Family Practice in Lake City, FL