Mrs Judith Myrick Randall, ARNP in North Bend, OR

Mrs Judith Myrick Randall, ARNP is a medicare enrolled "Nurse Practitioner - Family" in North Bend, Oregon. Her current practice location is 1890 Waite St, Ste 1, North Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 756-6232.

Mrs Judith Myrick Randall is licensed to practice in Oregon (license number 201250024) 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 1891978763.

Contact Information

	Mrs Judith Myrick Randall, ARNP
	1890 Waite St, Ste 1, North Bend, OR 97459-1229
	(541) 756-6232
	(541) 756-6234

Map and Direction

Provider's Profile

Full Name	Mrs Judith Myrick Randall
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1890 Waite St, North Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891978763
Provider Enumeration Date: 12/13/2007
Last Update Date: 06/22/2012

Medicare PECOS Information:

PECOS PAC ID: 1052493749
Enrollment ID: I20080204000304

Medical Identifiers

Medical identifiers for Mrs Judith Myrick Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891978763	NPI	-	NPPES
1619915113	Other		WATERFALL CLINIC, INC. GROUP NPI
213342	Medicaid	OR
R120353	Other		GROUP PTAN NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP30007876 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	201250024 (Oregon)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201250025NP (Oregon)	Secondary

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. Mrs Judith Myrick Randall allows following entities to bill medicare on her behalf.

Entity Name	Pullman Regional Hospital Clinic Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710218839 PECOS PAC ID: 4183753247 Enrollment ID: O20100527000556

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. Mrs Judith Myrick Randall 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
Mrs Judith Myrick Randall, ARNP 1890 Waite St, Ste 1, North Bend, OR 97459-1229 Ph: (541) 756-6232	Mrs Judith Myrick Randall, ARNP 1890 Waite St, Ste 1, North Bend, OR 97459-1229 Ph: (541) 756-6232

Reviews and Comments

Nurse Practitioner Nurses in North Bend, OR

Shu-wen Cheng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1890 Waite St, North Bend, OR 97459 Phone: 541-756-6232
Dawn Mcelhaney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2191 Marion St, Va-cboc, North Bend, OR 97459 Phone: 541-756-8002 Fax: 541-765-7503
Dr. Pei J Harris, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1430 Scott Ln, North Bend, OR 97459 Phone: 541-283-5662
Mrs. Rachael Lorraine Hilton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1890 Waite St, North Bend, OR 97459 Phone: 808-498-9260
Sophia B Cording, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1975 Mcpherson St, Suite 2, North Bend, OR 97459 Phone: 541-756-2020 Fax: 541-756-8982
Ms. Challis Annette Casebolt, WHC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1975 Mcpherson, #1, North Bend, OR 97459 Phone: 541-756-2020 Fax: 541-756-5828
Ya-chi Claire Chang, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1229 1890 Waite St #1, North Bend, OR 97459 Phone: 713-454-2261

Mrs Judith Myrick Randall, ARNP - Medicare Nurse Practitioner in North Bend, OR