Dr Tanya Michelle Randolph-elgin, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Stromsburg, Nebraska. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
302 E 4th St, Stromsburg, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 764-2491.
Dr Tanya Michelle Randolph-elgin is licensed to practice in Nebraska (license number 510) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306930425.
Healthcare Provider's Profile
| Full Name | Dr Tanya Michelle Randolph-elgin |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 26 Years |
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| Location | 302 E 4th St, Stromsburg, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tanya Michelle Randolph-elgin graduated from medical school in 1998
NPI Data:
- NPI Number: 1306930425
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517003494
- Enrollment ID: I20091007000030
Medical Identifiers
Medical identifiers for Dr Tanya Michelle Randolph-elgin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306930425 | NPI | - | NPPES |
| 559-692 | Other | NE | VALUE OPTIONS |
| 241839 | Other | NE | MIDLANDS CHOICE |
| 08468 | Other | NE | BLUE CROSS BLUE SHIELD |
| 6866600 | Other | NE | TRIWEST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 510 (Nebraska) | 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. Dr Tanya Michelle Randolph-elgin allows following entities to bill medicare on her behalf.
| Entity Name | Foundations Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053541698
PECOS PAC ID: 6507902368
Enrollment ID: O20091008000021 |
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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 Tanya Michelle Randolph-elgin 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 Tanya Michelle Randolph-elgin, PSYD
811 Main St,
Stromsburg, NE 68666-3015
Ph: (402) 764-8183 | Dr Tanya Michelle Randolph-elgin, PSYD
302 E 4th St,
Stromsburg, NE 68666-4417
Ph: (402) 764-2491 |
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