Ms Phyllis Elaine Randall, PA is a
Physician Assistant based in Pleasant Valley, New York. Ms Phyllis Elaine Randall is licensed to practice in New York (license number 001537) and her current practice location is
3 Charles St, Pleasant Valley, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 635-2650.
NPI number for Ms Phyllis Elaine Randall is 1235162892 and her current mailing address is 35 Horseshoe Rd, Millbrook, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235162892.
Provider's Profile
| Full Name | Ms Phyllis Elaine Randall |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 3 Charles St, Pleasant Valley, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235162892
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Phyllis Elaine Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235162892 | NPI | - | NPPES |
| 02389086 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 001537 (New York) | Primary |
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. Ms Phyllis Elaine Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Phyllis Elaine Randall, PA
35 Horseshoe Rd,
Millbrook, NY 12545-6028
Ph: (845) 677-9544 | Ms Phyllis Elaine Randall, PA
3 Charles St,
Pleasant Valley, NY 12569-7703
Ph: (845) 635-2650 |
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