Altheal Randolph, PA is a
Physician Assistant - Medical based in Jemison, Alabama. Altheal Randolph is licensed to practice in Alabama (license number PA190) and her current practice location is
340 County Road 126, Jemison, Alabama. She can be reached at her office (for appointments etc.) via phone at
(205) 908-8304.
NPI number for Altheal Randolph is 1376093864 and her current mailing address is 340 County Road, Jemison, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376093864.
Provider's Profile
Full Name | Altheal Randolph |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 340 County Road 126, Jemison, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376093864
- Provider Enumeration Date: 10/07/2016
- Last Update Date: 10/07/2016
Medical Identifiers
Medical identifiers for Altheal Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376093864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA190 (Alabama) | 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. Altheal Randolph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Altheal Randolph, PA 340 County Road, Jemison, AL 35085-3106 Ph: (205) 908-8304 | Altheal Randolph, PA 340 County Road 126, Jemison, AL 35085-3106 Ph: (205) 908-8304 |
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