Farelon Elise Randle, in Starkville, MS - Medicare Nurse Practitioner

Farelon Elise Randle, is a medicare enrolled "Nurse Practitioner - Family" in Starkville, Mississippi. Her current practice location is 500 Russell St Ste 3, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 324-2244.

Farelon Elise Randle is licensed to practice in Mississippi (license number 905602) 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 1730774290.

Contact Information

	Farelon Elise Randle,
	500 Russell St Ste 3, Starkville, MS 39759-5411
	(662) 324-2244
	Not Available

Map and Direction

Provider's Profile

Full Name	Farelon Elise Randle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 Russell St Ste 3, Starkville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730774290
Provider Enumeration Date: 03/06/2021
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3173991767
Enrollment ID: I20221202000762

Medical Identifiers

Medical identifiers for Farelon Elise Randle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730774290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	905602 (Mississippi)	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. Farelon Elise Randle allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

Entity Name	Golden Triangle Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346592045 PECOS PAC ID: 7315197498 Enrollment ID: O20121025000818

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. Farelon Elise Randle 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
Farelon Elise Randle, 830 S Gloster St, Tupelo, MS 38801-4996 Ph: (662) 377-3000	Farelon Elise Randle, 500 Russell St Ste 3, Starkville, MS 39759-5411 Ph: (662) 324-2244

Reviews and Comments

Nurse Practitioner Nurses in Starkville, MS

Mrs. Maggie Martin Fair, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Wilburn Way, Starkville, MS 39759 Phone: 662-323-9908 Fax: 662-323-8948
Mrs. Anna Cooper, WHNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Starkville, MS 39759 Phone: 662-323-4427
Erin Chandler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-285-7700
Mrs. Rachel Romero Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1207 Highway 182 W, Starkville, MS 39759 Phone: 662-320-7800
Mrs. Mamie M Kosko, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Wilburn Way, Starkville, MS 39759 Phone: 662-320-4008 Fax: 662-320-2450
Mrs. Laura J Hare, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Suite 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295
Meredith Patton Hartline, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295

Farelon Elise Randle, - Medicare Nurse Practitioner in Starkville, MS