Savannah Ashlee Randolph, CRNP in Hoover, AL - Medicare Nurse Practitioner

Savannah Ashlee Randolph, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Hoover, Alabama. Her current practice location is 2 Chase Corporate Dr, Suite 300, Hoover, Alabama. You can reach out to her office (for appointments etc.) via phone at (773) 292-4800.

Savannah Ashlee Randolph is licensed to practice in Alabama (license number 1112879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164872529.

Contact Information

	Savannah Ashlee Randolph, CRNP
	2 Chase Corporate Dr, Suite 300, Hoover, AL 35244-1016
	(773) 292-4800
	(312) 564-4059

Map and Direction

Provider's Profile

Full Name	Savannah Ashlee Randolph
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2 Chase Corporate Dr, Hoover, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164872529
Provider Enumeration Date: 06/16/2016
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8123312121
Enrollment ID: I20160815001732

Medical Identifiers

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

Identifier	Type	State	Issuer
1164872529	NPI	-	NPPES
1-112879	Other	AL	AL-LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1112879 (Alabama)	Primary

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. Savannah Ashlee Randolph allows following entities to bill medicare on her behalf.

Entity Name	Alegis Care - Alabama Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508437112 PECOS PAC ID: 8921499088 Enrollment ID: O20211228000385

Entity Name	Evernorth Care Providers - Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356128904 PECOS PAC ID: 7911355532 Enrollment ID: O20231211001845

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. Savannah Ashlee 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
Savannah Ashlee Randolph, CRNP 730 Cool Springs Blvd Ste 500, Franklin, TN 37067-7331 Ph: (773) 292-4800	Savannah Ashlee Randolph, CRNP 2 Chase Corporate Dr, Suite 300, Hoover, AL 35244-1016 Ph: (773) 292-4800

Reviews and Comments

Nurse Practitioner Nurses in Hoover, AL

Shuntae Montrice Hooten, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Amber Ln, Hoover, AL 35226 Phone: 205-335-4042
Joshua Meadows, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 Pine Ln, Hoover, AL 35226 Phone: 205-886-8566
Jennifer Nicole Mcleod Saizan, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Chase Corporate Dr Ste 300, Hoover, AL 35244 Phone: 312-262-2739 Fax: 312-564-4059
Kylie Turner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 John Hawkins Pkwy, Hoover, AL 35244 Phone: 205-981-8000
Sarah Catherine Woller, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4515 Southlake Pkwy Ste 200, Hoover, AL 35244 Phone: 205-313-7246 Fax: 205-939-1911
Margaret Schmidt, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5295 Preserve Pkwy, Suite 260, Hoover, AL 35244 Phone: 205-444-4858 Fax: 205-444-4856

Savannah Ashlee Randolph, CRNP - Medicare Nurse Practitioner in Hoover, AL