Dr Katherine Cragon Randolph, OD is a medicare enrolled "Optometrist" provider in Holly Springs, Mississippi. She went to University Alabama Birmingham - School Of Optometry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Mac2 Pllc and her current practice location is
130 W Van Dorn Ave, Holly Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 252-3323.
Dr Katherine Cragon Randolph is licensed to practice in Mississippi (license number 957) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1336557222.
Healthcare Provider's Profile
| Full Name | Dr Katherine Cragon Randolph |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 10 Years |
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| Location | 130 W Van Dorn Ave, Holly Springs, Mississippi |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katherine Cragon Randolph attended and graduated from University Alabama Birmingham - School Of Optometry in 2014
NPI Data:
- NPI Number: 1336557222
- Provider Enumeration Date: 07/24/2014
- Last Update Date: 08/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113149287
- Enrollment ID: I20210421001585
Medical Identifiers
Medical identifiers for Dr Katherine Cragon Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336557222 | NPI | - | NPPES |
| 05500018 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 957 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mac2 Pllc | 9537424387 | 3 |
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 Katherine Cragon Randolph allows following entities to bill medicare on her behalf.
| Provider Name | Mac2 Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457522237
PECOS PAC ID: 9537424387
Enrollment ID: O20180525000344 |
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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 Katherine Cragon 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 |
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Dr Katherine Cragon Randolph, OD
136 Oxmoor Rdg,
Oxford, MS 38655-6033
Ph: () - | Dr Katherine Cragon Randolph, OD
130 W Van Dorn Ave,
Holly Springs, MS 38635
Ph: (662) 252-3323 |
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