Kimberly Lee Randolph, CRNP in Decatur, AL - Medicare Nurse Practitioner

Kimberly Lee Randolph, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Alabama. Her current practice location is 2205 Beltline Rd Sw, Decatur, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 306-4000.

Kimberly Lee Randolph is licensed to practice in Alabama (license number F-04180370) 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 1073004842.

Contact Information

	Kimberly Lee Randolph, CRNP
	2205 Beltline Rd Sw, Decatur, AL 35601-3617
	(256) 306-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Lee Randolph
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2205 Beltline Rd Sw, Decatur, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073004842
Provider Enumeration Date: 05/28/2018
Last Update Date: 05/28/2018

Medicare PECOS Information:

PECOS PAC ID: 9436544731
Enrollment ID: I20220324000301

Medical Identifiers

Medical identifiers for Kimberly Lee Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073004842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F-04180370 (Alabama)	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. Kimberly Lee Randolph allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395

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. Kimberly Lee 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
Kimberly Lee Randolph, CRNP 14448 Water Stream Dr Nw, Harvest, AL 35749-5915 Ph: (256) 348-5573	Kimberly Lee Randolph, CRNP 2205 Beltline Rd Sw, Decatur, AL 35601-3617 Ph: (256) 306-4000

Reviews and Comments

Nurse Practitioner Nurses in Decatur, AL

Charles Edward Fortenberry, R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362
Mrs. Natalie Mccay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2941 Point Mallard Pkwy Se, Suite N, Decatur, AL 35603 Phone: 256-432-2822 Fax: 256-432-2825
Heather R Carter, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 14th Ave Se, Decatur, AL 35601 Phone: 256-355-6911
Mrs. Kami Elizabeth Whorton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1874 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-301-3207
Ranjanben B Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135
Megan Lynn Sanford, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2422 Danville Rd Sw Ste E, Decatur, AL 35603 Phone: 256-355-9040 Fax: 256-355-9048

Kimberly Lee Randolph, CRNP - Medicare Nurse Practitioner in Decatur, AL