Kathryn Kimberly Randall, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Deming, New Mexico. Her current practice location is
905 S. 8th St., Deming, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 543-7200.
Kathryn Kimberly Randall is licensed to practice in New Mexico (license number MD2013-0007) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184636672.
Physician's Profile
Full Name | Kathryn Kimberly Randall |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 905 S. 8th St., Deming, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184636672
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 08/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 3577563725
- Enrollment ID: I20130606000327
Medical Identifiers
Medical identifiers for Kathryn Kimberly Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184636672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 7343A (Wyoming) | Secondary |
207V00000X | Obstetrics & Gynecology | MD2013-0007 (New Mexico) | 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. Kathryn Kimberly Randall allows following entities to bill medicare on her behalf.
Entity Name | Deming Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134526221 PECOS PAC ID: 4981599206 Enrollment ID: O20040217000196 |
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Entity Name | Deming Clinic Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205835808 PECOS PAC ID: 8325001548 Enrollment ID: O20041109000612 |
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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. Kathryn Kimberly Randall 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 |
Kathryn Kimberly Randall, MD 905 S. 8th St., Deming, NM 88030 Ph: (575) 543-7200 | Kathryn Kimberly Randall, MD 905 S. 8th St., Deming, NM 88030 Ph: (575) 543-7200 |
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