Teqienna Dianne Randall, NP in Springdale, AR

Teqienna Dianne Randall, NP is a medicare enrolled "Nurse Practitioner" in Springdale, Arkansas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ies Hsp Arkansas Pllc and her current practice location is 609 W Maple Ave, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 751-5711.

Teqienna Dianne Randall is licensed to practice in Arkansas (license number A005617) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750865929.

Contact Information

	Teqienna Dianne Randall, NP
	609 W Maple Ave, Springdale, AR 72764-5335
	(479) 751-5711
	Not Available

Map and Direction

Provider's Profile

Full Name	Teqienna Dianne Randall
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	609 W Maple Ave, Springdale, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Teqienna Dianne Randall graduated from nursing school in 2017

NPI Data:

NPI Number: 1750865929
Provider Enumeration Date: 09/24/2018
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 9032454780
Enrollment ID: I20181227001290

Medical Identifiers

Medical identifiers for Teqienna Dianne Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750865929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A005617 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Medical Center-springdale	Springdale, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ies Hsp Arkansas Pllc	7416327523	22

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. Teqienna Dianne Randall allows following entities to bill medicare on her behalf.

Entity Name	South Central Hospitalists, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992127187 PECOS PAC ID: 0547493934 Enrollment ID: O20140509001680

Entity Name	Ies Hsp Arkansas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943

Entity Name	Springdale Bentonville Hbp Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674

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. Teqienna Dianne Randall 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
Teqienna Dianne Randall, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Teqienna Dianne Randall, NP 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 751-5711

Reviews and Comments

Nurse Practitioner Nurses in Springdale, AR

Scarlett Vanessa Grandy, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764 Phone: 479-751-7417
Scott Grigg, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762 Phone: 479-684-3132 Fax: 479-684-3098
Andrew Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711
Kaylee M Armendariz, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2878 Powell St, Springdale, AR 72764 Phone: 479-872-3045 Fax: 479-419-5947
James Robert Feher, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762 Phone: 479-927-2100
Kelsey Breanne Gay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Jones Rd, Springdale, AR 72762 Phone: 417-850-4313
Stephanie Burks, FNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 479-445-9900

Teqienna Dianne Randall, NP - Medicare Nurse Practitioner in Springdale, AR