Renita W Randall, FNP | |
3203 E Old Stone Rd, Brookline, MO 65619-9620 | |
(417) 269-1910 | |
(417) 269-1916 |
Full Name | Renita W Randall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 3203 E Old Stone Rd, Brookline, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285724625 | NPI | - | NPPES |
427183702 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 110109 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cox Medical Centers | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lester E Cox Medical Centers | 5799787784 | 194 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053481689 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000485 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902969272 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000622 |
Mailing Address | Practice Location Address |
---|---|
Renita W Randall, FNP Po Box 802843, Kansas City, MO 64180-2843 Ph: (417) 730-6430 | Renita W Randall, FNP 3203 E Old Stone Rd, Brookline, MO 65619-9620 Ph: (417) 269-1910 |
Nicole Lynne Baker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916 | |
Celeste Renee Andrews, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916 | |
Debrah M. Bridges, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Avenue, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916 | |
Mrs. Sherrie J. Ament-sturtevant, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916 | |
Leann N Rensch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916 | |
Dalton Lusk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 |