Zachary James Randolph, DPT in Amory, MS - Medicare Physical Therapist Provider

Zachary James Randolph, DPT is a medicare enrolled "Physical Therapist" provider in Amory, Mississippi. His current practice location is 60368 Cotton Gin Port Rd, Amory, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 257-3669.

Zachary James Randolph is licensed to practice in Mississippi (license number PT6683) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023663317.

Contact Information

	Zachary James Randolph, DPT
	60368 Cotton Gin Port Rd, Amory, MS 38821
	(662) 257-3669
	(662) 257-3961

Map and Direction

Healthcare Provider's Profile

Full Name	Zachary James Randolph
Gender	Male
Speciality	Physical Therapist
Location	60368 Cotton Gin Port Rd, Amory, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023663317
Provider Enumeration Date: 08/05/2019
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7315275567
Enrollment ID: I20231026001187

Medical Identifiers

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

Identifier	Type	State	Issuer
1023663317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6683 (Mississippi)	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. Zachary James Randolph allows following entities to bill medicare on his behalf.

Provider Name	Breakthrough Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396522736 PECOS PAC ID: 3971959099 Enrollment ID: O20231026001241

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. Zachary James 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
Zachary James Randolph, DPT 60368 Cotton Gin Port Rd, Amory, MS 38821 Ph: (662) 257-3669	Zachary James Randolph, DPT 60368 Cotton Gin Port Rd, Amory, MS 38821 Ph: (662) 257-3669

Reviews and Comments

Physical Therapist in Amory, MS

Jamee Fratesi Zepponi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-4080
Kelly Coker Dabbs, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1215 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-4640
Melinda Dickerson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Peg Ln, Amory, MS 38821 Phone: 662-315-0084 Fax: 479-709-7717
Kacey Byrd Roberts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1112 Highway 278 E Ste A, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-7080
Justin Lee Knight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-4080
Alyson Rae Key, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821 Phone: 662-257-4048 Fax: 662-257-4080

Zachary James Randolph, DPT - Medicare Physical Therapist in Amory, MS