Kristin Randa, DO | |
2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 | |
(239) 343-3831 | |
(239) 343-2301 |
Full Name | Kristin Randa |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 6 Years |
Location | 2780 Cleveland Ave Ste 709, Fort Myers, Florida |
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 |
---|---|---|---|
1417452996 | NPI | - | NPPES |
110556500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS17784 (Florida) | Secondary |
207Q00000X | Family Medicine | 72836 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Kristin Randa, DO 11211 W Lincoln Ave, West Allis, WI 53227-1035 Ph: (414) 454-8300 | Kristin Randa, DO 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 Ph: (239) 343-3831 |
Annie Taylor Millis, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15420 Cemetery Rd, Fort Myers, FL 33905 Phone: 843-992-4619 | |
Andrew J Oakes-lottridge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Florida Ave, Fort Myers, FL 33901 Phone: 239-694-6246 Fax: 239-344-3333 | |
Taras Babiak, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19701 S Tamiami Trl, Fort Myers, FL 33908 Phone: 239-314-1600 Fax: 239-425-6402 | |
Dr. Frederick J. Burford Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13774 Plantation Rd Ste 100, Fort Myers, FL 33912 Phone: 239-236-7777 Fax: 239-245-7028 | |
Dr. Rafael Paula, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Dr. David John Gomeringer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 240, Fort Myers, FL 33912 Phone: 239-768-5544 Fax: 239-768-9607 | |
Billy Ray Fulk, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16731 Mcgregor Blvd, Suite 105, Fort Myers, FL 33908 Phone: 239-437-2121 |