Mr Randall Edward Tindle, NP FNP - Medicare Nurse Practitioner in Neodesha, KS

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Mr Randall Edward Tindle, NP FNP is a medicare enrolled "Nurse Practitioner - Family" in Neodesha, Kansas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ashley Clinic, Llc, Southeast Kansas Mental Health Center and his current practice location is 2600 Ottawa Rd, Neodesha, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 325-2611.

Mr Randall Edward Tindle is licensed to practice in Kansas (license number 5878231072) 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 1609368075.

Contact Information

Mr Randall Edward Tindle, NP FNP
2600 Ottawa Rd,
Neodesha, KS 66757-1897
(620) 325-2611
Not Available

Map and Direction




Provider's Profile

Full NameMr Randall Edward Tindle
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location2600 Ottawa Rd, Neodesha, Kansas
Accepts Medicare AssignmentsYes. 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 Randall Edward Tindle graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1609368075
  • Provider Enumeration Date: 06/01/2018
  • Last Update Date: 06/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0345590725
  • Enrollment ID: I20180905002849

Medical Identifiers

Medical identifiers for Mr Randall Edward Tindle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609368075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 58-78231-072 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 5878231072 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Neosho Memorial Regional Medical CenterChanute, KSHospital
Fredonia Regional HospitalFredonia, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ashley Clinic, Llc054724017816
Southeast Kansas Mental Health Center387056287939

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 Randall Edward Tindle allows following entities to bill medicare on his behalf.
Entity NameNeosho Memorial Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023251469
PECOS PAC ID: 9133022882
Enrollment ID: O20040129000863
Entity NameAshley Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912087958
PECOS PAC ID: 0547240178
Enrollment ID: O20040723000105
Entity NameSoutheast Kansas Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467414771
PECOS PAC ID: 3870562879
Enrollment ID: O20040927001008
Entity NameWilson County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992842942
PECOS PAC ID: 0042273971
Enrollment ID: O20041119000995

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 Randall Edward Tindle 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
Mr Randall Edward Tindle, NP FNP
2600 Ottawa Rd,
Neodesha, KS 66757-1897

Ph: (620) 325-2611		Mr Randall Edward Tindle, NP FNP
2600 Ottawa Rd,
Neodesha, KS 66757-1897

Ph: (620) 325-2611

Reviews and Comments


Nurse Practitioner Nurses in Neodesha, KS

Lisa Lynn Johnson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2600 Ottawa Rd, Neodesha, KS 66757
Phone: 620-325-2611    Fax: 620-325-8460
Rebecca Rhone, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Ottawa Rd, Pob 360, Neodesha, KS 66757
Phone: 620-325-2611    Fax: 620-325-8459
Toni Alecia Adams, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Ottawa Rd Ste 101, Neodesha, KS 66757
Phone: 620-325-2611    Fax: 620-325-5380
Antoinette Marie Barnhart, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 806 Main St, Neodesha, KS 66757
Phone: 620-325-2622    Fax: 620-325-5380
Shawn Eric Raymond, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Ottawa Rd, Neodesha, KS 66757
Phone: 620-325-2611    

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.