Dr Austin Gonzalez-randolph, LP in Wausau, WI - Medicare Psychologist Provider

Dr Austin Gonzalez-randolph, LP is a medicare enrolled "Psychologist" provider in Wausau, Wisconsin. His current practice location is 214 Maple St Unit B, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (425) 780-5094.

Dr Austin Gonzalez-randolph is licensed to practice in Wisconsin (license number 4078-57) 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 1851975056.

Contact Information

	Dr Austin Gonzalez-randolph, LP
	214 Maple St Unit B, Wausau, WI 54401-4425
	(425) 780-5094
	(425) 537-6473

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Austin Gonzalez-randolph
Gender	Male
Speciality	Psychologist
Location	214 Maple St Unit B, Wausau, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851975056
Provider Enumeration Date: 05/12/2021
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4981075462
Enrollment ID: I20230119002265

Medical Identifiers

Medical identifiers for Dr Austin Gonzalez-randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851975056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4078-57 (Wisconsin)	Primary
103T00000X	Psychologist	PY61278527 (Washington)	Secondary

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 Austin Gonzalez-randolph allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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 Austin Gonzalez-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 Austin Gonzalez-randolph, LP 100 N Howard St Ste R, Spokane, WA 99201-0508 Ph: (425) 780-5094	Dr Austin Gonzalez-randolph, LP 214 Maple St Unit B, Wausau, WI 54401-4425 Ph: (425) 780-5094

Reviews and Comments

Psychologist in Wausau, WI

Dr. Steven A. Benson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 3rd St Ste 319-b, Wausau, WI 54403 Phone: 715-848-0002 Fax: 715-848-0390
Paul Hesse, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Stewart Ave Ste 270, Wausau, WI 54401 Phone: 715-842-8600
Dr. Judith L. Voelz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Stewart Ave, Suite 272-4, Wausau, WI 54401 Phone: 715-842-4091
Natasha Suzanne Mallak, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 630 S 36th Ave, Wausau, WI 54401 Phone: 715-842-9500
Anthony P Gillette, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 N 28th Ave, Ste 200, Wausau, WI 54401 Phone: 715-848-1346 Fax: 715-848-0640
Dr. Katie Anne Dorsey, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 630 S 36th Ave, Wausau, WI 54401 Phone: 855-607-8242
Dr. Eric M Anderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 Mcclellan Street, Wausau, WI 54403 Phone: 715-834-2046 Fax: 715-834-7563

Dr Austin Gonzalez-randolph, LP - Medicare Psychologist in Wausau, WI