Randall Tyler Hernandez, APRN in Atlanta, GA - Medicare Nurse Practitioner

Randall Tyler Hernandez, APRN is a medicare enrolled "Nurse Practitioner" in Atlanta, Georgia. 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 Grady Memorial Hospital Corporation and his current practice location is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 616-1000.

Randall Tyler Hernandez is licensed to practice in Georgia (license number RN261719) 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 1205428083.

Contact Information

	Randall Tyler Hernandez, APRN
	80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031
	(404) 616-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Randall Tyler Hernandez
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	80 Jesse Hill Jr Dr Se, Atlanta, Georgia
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:

Randall Tyler Hernandez graduated from nursing school in 2020

NPI Data:

NPI Number: 1205428083
Provider Enumeration Date: 02/03/2021
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8527469063
Enrollment ID: I20210622002118

Medical Identifiers

Medical identifiers for Randall Tyler Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205428083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN261719 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grady Memorial Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grady Memorial Hospital Corporation	7517032998	262

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. Randall Tyler Hernandez allows following entities to bill medicare on his behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

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. Randall Tyler Hernandez 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
Randall Tyler Hernandez, APRN 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: () -	Randall Tyler Hernandez, APRN 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 616-1000

Reviews and Comments

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Randall Tyler Hernandez, APRN - Medicare Nurse Practitioner in Atlanta, GA