Kristin Randolph, in Gainesville, GA - Medicare Nurse Practitioner

Kristin Randolph, is a medicare enrolled "Nurse Practitioner - Family" in Gainesville, Georgia. Her current practice location is 103 Jesse Jewell Pkwy Sw, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Kristin Randolph is licensed to practice in Georgia (license number RN257493) 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 1972257434.

Contact Information

	Kristin Randolph,
	103 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-4321
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin Randolph
Gender	Female
Speciality	Nurse Practitioner - Family
Location	103 Jesse Jewell Pkwy Sw, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972257434
Provider Enumeration Date: 02/03/2022
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 3476931395
Enrollment ID: I20220606002408

Medical Identifiers

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

Identifier	Type	State	Issuer
1972257434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN257493 (Georgia)	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. Kristin Randolph allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186

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. Kristin 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
Kristin Randolph, 4765 Fairways Ln, Jefferson, GA 30549-8836 Ph: (770) 654-3532	Kristin Randolph, 103 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-4321 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Gainesville, GA

Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599
Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025
Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025
Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025
Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277
Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277

Kristin Randolph, - Medicare Nurse Practitioner in Gainesville, GA