Richard Randolph, PA-C in Memphis, TN - Medicare Physician Assistant

Richard Randolph, PA-C is a medicare enrolled "Physician Assistant" in Memphis, Tennessee. His current practice location is 1094 River Isle Dr, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (912) 667-0714.

Richard Randolph is licensed to practice in Tennessee (license number 2834) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982076246.

Contact Information

	Richard Randolph, PA-C
	1094 River Isle Dr, Memphis, TN 38103-8870
	(912) 667-0714
	Not Available

Map and Direction

Provider's Profile

Full Name	Richard Randolph
Gender	Male
Speciality	Physician Assistant
Location	1094 River Isle Dr, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982076246
Provider Enumeration Date: 10/27/2015
Last Update Date: 10/27/2015

Medicare PECOS Information:

PECOS PAC ID: 1355651613
Enrollment ID: I20151117001723

Medical Identifiers

Medical identifiers for Richard Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982076246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2834 (Tennessee)	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. Richard Randolph 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
Richard Randolph, PA-C 1094 River Isle Dr, Memphis, TN 38103-8870 Ph: (912) 667-0714	Richard Randolph, PA-C 1094 River Isle Dr, Memphis, TN 38103-8870 Ph: (912) 667-0714

Reviews and Comments

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Richard Randolph, PA-C - Medicare Physician Assistant in Memphis, TN