Mr Vincenzo Randazzo, PA is a medicare enrolled "Physician Assistant - Medical" physician in Lone Tree, Colorado. His current practice location is
10240 Park Meadows Dr, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 338-4545.
Mr Vincenzo Randazzo is licensed to practice in Colorado (license number PA.0004065) 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 1417034737.
Physician's Profile
Full Name | Mr Vincenzo Randazzo |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
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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: 1417034737
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 05/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476868126
- Enrollment ID: I20150811003442
Medical Identifiers
Medical identifiers for Mr Vincenzo Randazzo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417034737 | NPI | - | NPPES |
028228 | Other | CO | KAISER COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | P47669 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | PA.0004065 (Colorado) | Primary |
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. Mr Vincenzo Randazzo 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 |
Mr Vincenzo Randazzo, PA 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Mr Vincenzo Randazzo, PA 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545 |
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