Frederick William Randolph, MD in Philadelphia, PA

Frederick William Randolph, MD is a medicare enrolled "Emergency Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 2607 Rhawn St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 333-0304.

Frederick William Randolph is licensed to practice in Maryland (license number D0019085) 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 1033155247.

Contact Information

	Frederick William Randolph, MD
	2607 Rhawn St, Philadelphia, PA 19152-3038
	(215) 333-0304
	(215) 333-1402

Map and Direction

Physician's Profile

Full Name	Frederick William Randolph
Gender	Male
Speciality	Emergency Medicine
Location	2607 Rhawn St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033155247
Provider Enumeration Date: 06/22/2006
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 1557350006
Enrollment ID: I20100330000446

Medical Identifiers

Medical identifiers for Frederick William Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033155247	NPI	-	NPPES
368731700	Medicaid	MD
10433266	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	D0019085 (Maryland)	Primary
207P00000X	Emergency Medicine	MD447333 (Pennsylvania)	Secondary

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. Frederick William Randolph allows following entities to bill medicare on his behalf.

Entity Name	Bethesda Emergency Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125941 PECOS PAC ID: 4880581297 Enrollment ID: O20040301001187

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. Frederick William 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
Frederick William Randolph, MD 2607 Rhawn St, Philadelphia, PA 19152-3038 Ph: (215) 333-0304	Frederick William Randolph, MD 2607 Rhawn St, Philadelphia, PA 19152-3038 Ph: (215) 333-0304

Reviews and Comments

Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Ashley Bonsu, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890

Frederick William Randolph, MD - Medicare Emergency Medicine in Philadelphia, PA