Mrs Leslie Angelette Randolph-moss, MPAS, PA-C in Jacksonville, FL

Mrs Leslie Angelette Randolph-moss, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jacksonville, Florida. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Physical Medicine Specialists, Inc and her current practice location is 4600 Middleton Park Cir E Apt D250, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (090) 461-0339.

Mrs Leslie Angelette Randolph-moss is licensed to practice in Florida (license number PA9113425) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730283862.

Contact Information

	Mrs Leslie Angelette Randolph-moss, MPAS, PA-C
	4600 Middleton Park Cir E Apt D250, Jacksonville, FL 32224-4684
	(090) 461-0339
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Leslie Angelette Randolph-moss
Gender	Female
Speciality	Physician Assistant
Experience	18 Years
Location	4600 Middleton Park Cir E Apt D250, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Leslie Angelette Randolph-moss graduated from nursing school in 2006

NPI Data:

NPI Number: 1730283862
Provider Enumeration Date: 09/11/2006
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6800295833
Enrollment ID: I20210525001675

Medical Identifiers

Medical identifiers for Mrs Leslie Angelette Randolph-moss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730283862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1061708 (Kansas)	Secondary
363AM0700X	Physician Assistant - Medical	PA9113425 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Florida	Jacksonville, FL	Hospital
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital
Shands Jacksonville	Jacksonville, FL	Hospital
Memorial Hospital Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Medicine Specialists, Inc	1658335328	60

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 Leslie Angelette Randolph-moss 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 Leslie Angelette Randolph-moss, MPAS, PA-C 116 Clarendon Rd, St Johns, FL 32259-7079 Ph: (785) 226-2115	Mrs Leslie Angelette Randolph-moss, MPAS, PA-C 4600 Middleton Park Cir E Apt D250, Jacksonville, FL 32224-4684 Ph: (090) 461-0339

Reviews and Comments

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Mrs Leslie Angelette Randolph-moss, MPAS, PA-C - Medicare Physician Assistant in Jacksonville, FL