Jasmine Randelson, is a medicare enrolled "Internal Medicine - Pulmonary Disease" in Birmingham, Alabama. Her current practice location is
1802 6th Ave S, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 934-9047.
Jasmine Randelson is licensed to practice in Alabama (license number 147363) 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 1710507785.
Provider's Profile
| Full Name | Jasmine Randelson |
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| Gender | Female |
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| Speciality | Internal Medicine - Pulmonary Disease |
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| Location | 1802 6th Ave S, Birmingham, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710507785
- Provider Enumeration Date: 04/20/2020
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719371707
- Enrollment ID: I20220309000807
Medical Identifiers
Medical identifiers for Jasmine Randelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710507785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1-147363 (Alabama) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 147363 (Alabama) | Primary |
| 163W00000X | Registered Nurse | 1-147363 (Alabama) | Secondary |
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. Jasmine Randelson allows following entities to bill medicare on her behalf.
| Entity Name | Southern Np Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407257447
PECOS PAC ID: 1557686243
Enrollment ID: O20150223000847 |
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| Entity Name | Infinite Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20211202000638 |
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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. Jasmine Randelson 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 |
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Jasmine Randelson,
1802 6th Ave S,
Birmingham, AL 35233-1932
Ph: () - | Jasmine Randelson,
1802 6th Ave S,
Birmingham, AL 35233-1932
Ph: (205) 934-9047 |
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