Mr Derrick Aaron Randolph, RN in Decatur, GA - Medicare Nurse Practitioner

Mr Derrick Aaron Randolph, RN is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Georgia. He went to University Of Alabama School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice P J M Reddy Md, Decatur Med-surg Clinic, Llc and his current practice location is 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (256) 341-2000.

Mr Derrick Aaron Randolph is licensed to practice in Alabama (license number 1-090988) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760882690.

Contact Information

	Mr Derrick Aaron Randolph, RN
	1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601
	(256) 341-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Derrick Aaron Randolph
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	1207 7th St S.e., Decatur, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Derrick Aaron Randolph attended and graduated from University Of Alabama School Of Medicine in 2014

NPI Data:

NPI Number: 1760882690
Provider Enumeration Date: 08/28/2014
Last Update Date: 01/27/2015

Medicare PECOS Information:

PECOS PAC ID: 3577881994
Enrollment ID: I20150415002109

Medical Identifiers

Medical identifiers for Mr Derrick Aaron Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760882690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-090988 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	1-090988 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-090988 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Morgan Hospital - Decatur Campus	Decatur, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
P J M Reddy Md	3072838960	2
Decatur Med-surg Clinic, Llc	7618996620	3

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. Mr Derrick Aaron Randolph allows following entities to bill medicare on his behalf.

Entity Name	Decatur Med-surg Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770592206 PECOS PAC ID: 7618996620 Enrollment ID: O20051118000722

Entity Name	P J M Reddy Md
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134522485 PECOS PAC ID: 3072838960 Enrollment ID: O20150218000482

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. Mr Derrick Aaron 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
Mr Derrick Aaron Randolph, RN 2030 Cleveland Ave S.w, Decatur, AL 35601 Ph: (256) 353-3501	Mr Derrick Aaron Randolph, RN 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 Ph: (256) 341-2000

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Mr Derrick Aaron Randolph, RN - Medicare Nurse Practitioner in Decatur, GA