Dr Katherine Cragon Randolph, OD is a medicare enrolled "Optometrist" provider in Holly Springs, Mississippi. 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 | |
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Experience | 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. |
Medical Education and Training:
- Dr Katherine Cragon Randolph attended and graduated from in
NPI Data:
- NPI Number: 1336557222
- Provider Enumeration Date: 07/24/2014
- Last Update Date: 08/27/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
152W00000X | Optometrist | 957 (Mississippi) | Primary |
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 |
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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