Mr Randall Lee Coffman, NP in Charlotte, NC - Medicare Nurse Practitioner

Mr Randall Lee Coffman, NP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Novant Medical Group Inc and his current practice location is 10905 Providence Rd W, Suite G200, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (980) 488-4900.

Mr Randall Lee Coffman is licensed to practice in North Carolina (license number 5013564) 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 1962015420.

Contact Information

	Mr Randall Lee Coffman, NP
	10905 Providence Rd W, Suite G200, Charlotte, NC 28277-1538
	(980) 488-4900
	(980) 488-4905

Map and Direction

Provider's Profile

Full Name	Mr Randall Lee Coffman
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	10905 Providence Rd W, Charlotte, North Carolina
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 Randall Lee Coffman graduated from nursing school in 2020

NPI Data:

NPI Number: 1962015420
Provider Enumeration Date: 08/25/2020
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3375963960
Enrollment ID: I20201020004525

Medical Identifiers

Medical identifiers for Mr Randall Lee Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962015420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	5013564 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5013564 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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 Lee Coffman allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Lee Coffman 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 Randall Lee Coffman, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: (980) 488-4900	Mr Randall Lee Coffman, NP 10905 Providence Rd W, Suite G200, Charlotte, NC 28277-1538 Ph: (980) 488-4900

Reviews and Comments

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Mr Randall Lee Coffman, NP - Medicare Nurse Practitioner in Charlotte, NC