Cheryl Randolph, OT in Valdosta, GA - Medicare Occupational Therapist Provider

Cheryl Randolph, OT is a medicare enrolled "Occupational Therapist" provider in Valdosta, Georgia. Her current practice location is 111 Woodrow Wilson Dr Ste C, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 262-4075.

Cheryl Randolph is licensed to practice in Georgia (license number OT007463) 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 1063294478.

Contact Information

	Cheryl Randolph, OT
	111 Woodrow Wilson Dr Ste C, Valdosta, GA 31602-2583
	(229) 262-4075
	(229) 262-4076

Map and Direction

Healthcare Provider's Profile

Full Name	Cheryl Randolph
Gender	Female
Speciality	Occupational Therapist
Location	111 Woodrow Wilson Dr Ste C, Valdosta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063294478
Provider Enumeration Date: 10/19/2023
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5597111336
Enrollment ID: I20231030003651

Medical Identifiers

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

Identifier	Type	State	Issuer
1063294478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT007463 (Georgia)	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. Cheryl Randolph allows following entities to bill medicare on her behalf.

Provider Name	Thrive Physical Therapy And Wellness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760128672 PECOS PAC ID: 8123401379 Enrollment ID: O20220820000049

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. Cheryl 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
Cheryl Randolph, OT 111 Woodrow Wilson Dr Ste C, Valdosta, GA 31602-2583 Ph: (229) 262-4075	Cheryl Randolph, OT 111 Woodrow Wilson Dr Ste C, Valdosta, GA 31602-2583 Ph: (229) 262-4075

Reviews and Comments

Occupational Therapist in Valdosta, GA

Mrs. Taylor Elizabeth George, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522
Mrs. Emily Sandoval, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522
Insight Therapy Services, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2108 N Patterson St, Valdosta, GA 31602 Phone: 229-244-3000 Fax: 229-244-1934
Morgan Brooke Boruff, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 809 N Patterson St, Valdosta, GA 31601 Phone: 229-469-6932 Fax: 229-469-6933
Ms. Melissa Yvette Hoffman, OTR L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3021 Kensington Ln, Valdosta, GA 31602 Phone: 229-242-6795 Fax: 229-219-2280
Mrs. Deborah Mcnair Mcturk, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 Ridge Rd, Valdosta, GA 31605 Phone: 229-245-9428 Fax: 229-253-8904

Cheryl Randolph, OT - Medicare Occupational Therapist in Valdosta, GA