Cori Lynn Randall, FNP-C | |
612 Center Ave N, Ashley, ND 58413-7013 | |
(701) 288-3433 | |
Not Available |
Full Name | Cori Lynn Randall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 612 Center Ave N, Ashley, North Dakota |
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 |
---|---|---|---|
1083182174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R29524 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ashley Medical Center | Ashley, ND | Hospital |
Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ashley Medical Center | 8628981834 | 6 |
Entity Name | Ashley Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335830 PECOS PAC ID: 8628981834 Enrollment ID: O20040423001213 |
Entity Name | St Lukes Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184737231 PECOS PAC ID: 4486565645 Enrollment ID: O20040423001224 |
Entity Name | St Lukes Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1215942032 PECOS PAC ID: 4486565645 Enrollment ID: O20100929000438 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200303000565 |
Mailing Address | Practice Location Address |
---|---|
Cori Lynn Randall, FNP-C 10710 Rose Dr, Bismarck, ND 58503-9716 Ph: (701) 471-3111 | Cori Lynn Randall, FNP-C 612 Center Ave N, Ashley, ND 58413-7013 Ph: (701) 288-3433 |
Tara Harding, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 612 Center Ave N, Ashley, ND 58413 Phone: 701-288-3448 Fax: 701-288-3213 |