Randolph Family Practice Clinic - Medicare Primary Care in Randolph, NE

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Randolph Family Practice Clinic is a medicare enrolled primary clinic (Family Medicine) in Randolph, Nebraska. The current practice location for Randolph Family Practice Clinic is 106 E Wayne St, Randolph, Nebraska. For appointments, you can reach them via phone at (402) 337-0200. The mailing address for Randolph Family Practice Clinic is Po Box 429, Osmond, Nebraska and phone number is (402) 748-3393.

Randolph Family Practice Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700979614. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (402) 337-0200.

Contact Information

Randolph Family Practice Clinic
106 E Wayne St
Randolph
NE 68771-5300
(402) 337-0200
(402) 337-1020

Map and Direction


Primary Care Clinic Profile

Full NameRandolph Family Practice Clinic
SpecialityFamily Medicine
Location106 E Wayne St, Randolph, Nebraska
Authorized Official Name and PositionLon M. Knievel (CEO)
Authorized Official Contact4027483393
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randolph Family Practice Clinic
Po Box 429
Osmond
NE 68765-0429

Ph: (402) 748-3393		Randolph Family Practice Clinic
106 E Wayne St
Randolph
NE 68771-5300

Ph: (402) 337-0200

NPI Details:

NPI Number1700979614
Provider Enumeration Date10/02/2006
Last Update Date11/23/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4183689227
Medicare Enrollment IDO20041130000809

Medical Identifiers

Medical identifiers for Randolph Family Practice Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700979614NPI-NPPES
2131672OtherNERANDOLPH (COVENTRY)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Randolph Family Practice Clinic acts as a billing entity for following providers:
Provider NameKelly L Bullock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407941057
PECOS PAC ID: 2769483858
Enrollment ID: I20070116000077
Provider NameAnthony E Akainda
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710072095
PECOS PAC ID: 9830213099
Enrollment ID: I20100825000807
Provider NameRiley D Eckmann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447487129
PECOS PAC ID: 2668631268
Enrollment ID: I20120316000217
Provider NameAlicia A Vandewalle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104276948
PECOS PAC ID: 1658663406
Enrollment ID: I20160714001396
Provider NameMatthew J Loutzenhiser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538258348
PECOS PAC ID: 6002911252
Enrollment ID: I20190508002008
Provider NameBobbie Jo M Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306405360
PECOS PAC ID: 1759618473
Enrollment ID: I20190802002695
Provider NameMadeleine R Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154981033
PECOS PAC ID: 9638409592
Enrollment ID: I20210107001546
Provider NameSamantha K Kizzire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821694639
PECOS PAC ID: 9133533011
Enrollment ID: I20210204001912
Provider NameKatelyn M Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609446319
PECOS PAC ID: 3476945973
Enrollment ID: I20220112002752

Reviews and Comments


Family Medicine in Randolph, NE

Cedar County School District 45
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 207 N Pierce St, Randolph, NE 68771
Phone: 402-337-0252    Fax: 402-337-0235

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.