Maryjane N Randels, FNP-ENP - Medicare Nurse Practitioner in Bogart, GA

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Maryjane N Randels, FNP-ENP is a medicare enrolled "Nurse Practitioner - Family" in Bogart, Georgia. Her current practice location is 1561 Lenru Rd, Suite A, Bogart, Georgia. You can reach out to her office (for appointments etc.) via phone at (850) 445-4832.

Maryjane N Randels is licensed to practice in Georgia (license number GAANP000734) 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 1417689050.

Contact Information

Maryjane N Randels, FNP-ENP
1561 Lenru Rd, Suite A,
Bogart, GA 30622
(850) 445-4832
(706) 549-3138

Map and Direction




Provider's Profile

Full NameMaryjane N Randels
GenderFemale
SpecialityNurse Practitioner - Family
Location1561 Lenru Rd, Bogart, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417689050
  • Provider Enumeration Date: 06/30/2022
  • Last Update Date: 10/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759758568
  • Enrollment ID: I20221108002680

Medical Identifiers

Medical identifiers for Maryjane N Randels such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417689050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family GAA-NP000734 (Georgia)Secondary
363LF0000XNurse Practitioner - Family GAANP000734 (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. Maryjane N Randels allows following entities to bill medicare on her behalf.
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NameCreative Hospice Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437897956
PECOS PAC ID: 6305942616
Enrollment ID: O20220726002864

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. Maryjane N Randels 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 AddressPractice Location Address
Maryjane N Randels, FNP-ENP
1561 Lenru Rd,
Bogart, GA 30622-3334

Ph: (770) 725-2399		Maryjane N Randels, FNP-ENP
1561 Lenru Rd, Suite A,
Bogart, GA 30622

Ph: (850) 445-4832

Reviews and Comments


Nurse Practitioner Nurses in Bogart, GA

Ms. Maya Regina Trocheck, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Lenru Rd Ste A, Bogart, GA 30622
Phone: 770-725-2399    
Ms. Natalie Spif Romines, SNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1520b Jennings Mill Rd, Bogart, GA 30622
Phone: 706-227-8999    Fax: 706-227-6118
Shuconda Sturdivant, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 248 Bob Wages Rd, Bogart, GA 30622
Phone: 770-725-7298    
Erin Michele Graham, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Lenru Rd Ste A, Bogart, GA 30622
Phone: 877-355-4472    
Kathleen Grassmyer,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2235 Day Dr, Bogart, GA 30622
Phone: 770-733-7704    
Melissa Ann Smith, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2080 Keeneland Dr, Bogart, GA 30622
Phone: 706-255-8917    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.