Dr Antwan Percy Randolph, OD in Spearfish, SD

Dr Antwan Percy Randolph, OD is a medicare enrolled "Optometrist" provider in Spearfish, South Dakota. He went to Indiana University - School Of Optometry and graduated in 2008 and has 16 years of diverse experience with area of expertise as Optometry. His current practice location is 2549 Yukon Pl, Spearfish, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 549-1212.

Dr Antwan Percy Randolph is licensed to practice in South Dakota (license number 748) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568798841.

Contact Information

	Dr Antwan Percy Randolph, OD
	2549 Yukon Pl, Spearfish, SD 57783-8531
	(605) 549-1212
	(605) 549-1313

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Antwan Percy Randolph
Gender	Male
Speciality	Optometry
Experience	16 Years
Location	2549 Yukon Pl, Spearfish, South Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Antwan Percy Randolph attended and graduated from Indiana University - School Of Optometry in 2008

NPI Data:

NPI Number: 1568798841
Provider Enumeration Date: 10/21/2009
Last Update Date: 09/15/2021

Medicare PECOS Information:

PECOS PAC ID: 2769723543
Enrollment ID: I20210217002618

Medical Identifiers

Medical identifiers for Dr Antwan Percy Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568798841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2010002259 (Missouri)	Secondary
152W00000X	Optometrist	2911 (Tennessee)	Secondary
152WV0400X	Optometrist - Vision Therapy	748 (South Dakota)	Secondary
152W00000X	Optometrist	748 (South Dakota)	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. Dr Antwan Percy Randolph allows following entities to bill medicare on his behalf.

Provider Name	Atlas Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760951107 PECOS PAC ID: 5092103143 Enrollment ID: O20211022001764

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. Dr Antwan Percy 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
Dr Antwan Percy Randolph, OD 149 Timberline Rd, Spearfish, SD 57783-9642 Ph: (605) 642-2533	Dr Antwan Percy Randolph, OD 2549 Yukon Pl, Spearfish, SD 57783-8531 Ph: (605) 549-1212

Reviews and Comments

Optometrist in Spearfish, SD

Family Optical P C Optometrist Medicare: Medicare Enrolled Practice Location: 1420 North Ave Ste 1, Spearfish, SD 57783 Phone: 605-642-0387 Fax: 605-642-0388
Dr. Elaine Victoria Petry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645
Robert G Goodrich Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 830 N Main St, Suite 1, Spearfish, SD 57783 Phone: 605-642-2645 Fax: 605-642-8345
Eryn Caudill, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1420 North Ave, Spearfish, SD 57783 Phone: 605-642-0387
Lifetime Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1230 North Ave, Suite #3, Spearfish, SD 57783 Phone: 605-642-4656
Spearfish Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1710 North Ave, Spearfish, SD 57783 Phone: 605-642-8480 Fax: 605-642-8185
Jessica R Czerny, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645

Dr Antwan Percy Randolph, OD - Medicare Optometrist in Spearfish, SD