Brooke Randol, MSN, RN, AGCNS-BC in Fort Wayne, IN - Medicare Clinical Nurse Specialist

Brooke Randol, MSN, RN, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist" in Fort Wayne, Indiana. Her current practice location is 2200 Randallia Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 373-6070.

Brooke Randol is licensed to practice in Indiana (license number 28195468A) 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 1275269623.

Contact Information

	Brooke Randol, MSN, RN, AGCNS-BC
	2200 Randallia Dr, Fort Wayne, IN 46805-4638
	(260) 373-6070
	(260) 373-6704

Map and Direction

Provider's Profile

Full Name	Brooke Randol
Gender	Female
Speciality	Clinical Nurse Specialist
Location	2200 Randallia Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275269623
Provider Enumeration Date: 07/28/2022
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 7719325067
Enrollment ID: I20240404003306

Medical Identifiers

Medical identifiers for Brooke Randol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275269623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364S00000X	Clinical Nurse Specialist	28195468A (Indiana)	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. Brooke Randol allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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. Brooke Randol 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
Brooke Randol, MSN, RN, AGCNS-BC 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Brooke Randol, MSN, RN, AGCNS-BC 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-6070

Reviews and Comments

Clinical Nurse Specialist Nurses in Fort Wayne, IN

Anne G W Harless, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Rebecca Lynn Beaubien, RN, AACNS-P Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Parkview Regional Medical Center, 11109 Parkview Plaza Drive, Fort Wayne, IN 46845 Phone: 260-672-6611
Mrs. Sharon Freeman Clevenger, MA, MSN, PMHCNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 423 Airport North Office Park, Fort Wayne, IN 46825 Phone: 260-969-5583 Fax: 260-969-5584
Deanna L. Massie, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804 Phone: 260-969-7121 Fax: 260-407-4330
Tiffany J Kirchner, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845 Phone: 260-425-6800 Fax: 260-425-6845
Amanda Brock, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 6925 Lake Crest Ct, Fort Wayne, IN 46815 Phone: 260-416-7328

Brooke Randol, MSN, RN, AGCNS-BC - Medicare Clinical Nurse Specialist in Fort Wayne, IN