Gregory E Randolph, PA-C is a medicare enrolled "Physician Assistant" in Gladbrook, Iowa. His current practice location is
309 2nd St, Gladbrook, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 473-2707.
Gregory E Randolph is licensed to practice in Iowa (license number 000693) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912949124.
Provider's Profile
| Full Name | Gregory E Randolph |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 309 2nd St, Gladbrook, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gregory E Randolph attended and graduated from in
NPI Data:
- NPI Number: 1912949124
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 07/16/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gregory E Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912949124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 000693 (Iowa) | 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. Gregory E Randolph 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 |
|---|
Gregory E Randolph, PA-C
2101 Kimball Ave, Ll14,
Waterloo, IA 50702-5063
Ph: (319) 272-1590 | Gregory E Randolph, PA-C
309 2nd St,
Gladbrook, IA 50635
Ph: (641) 473-2707 |
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