Matthew Randolph, - Medicare Nurse Practitioner in Gainesville, FL

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Matthew Randolph, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gainesville, Florida. His current practice location is 529 Nw 60th St, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 331-5100.

Matthew Randolph is licensed to practice in Florida (license number ARNP9315572) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437408887.

Contact Information

Matthew Randolph,
529 Nw 60th St,
Gainesville, FL 32607-2008
(352) 331-5100
(352) 332-9607

Map and Direction




Provider's Profile

Full NameMatthew Randolph
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location529 Nw 60th St, Gainesville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437408887
  • Provider Enumeration Date: 08/31/2012
  • Last Update Date: 10/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2264798701
  • Enrollment ID: I20171115003594

Medical Identifiers

Medical identifiers for Matthew Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437408887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9315572 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP9315572 (Florida)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. Matthew Randolph allows following entities to bill medicare on his behalf.
Entity NameMindpath Care Centers North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508803214
PECOS PAC ID: 4688655517
Enrollment ID: O20040526001582

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. Matthew 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 AddressPractice Location Address
Matthew Randolph,
1502 W Nc Highway 54, Ste 103,
Durham, NC 27707-5572

Ph: (919) 354-0840		Matthew Randolph,
529 Nw 60th St,
Gainesville, FL 32607-2008

Ph: (352) 331-5100

Reviews and Comments


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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.