Jason Randall, PSYD in Portage, MI - Medicare Clinical Psychologist Provider

Jason Randall, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Portage, Michigan. He went to Loma Linda University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Grace Health Inc and his current practice location is 3770 Glenkerry Ct, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 329-2887.

Jason Randall is licensed to practice in Michigan (license number 6301014496) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679885602.

Contact Information

	Jason Randall, PSYD
	3770 Glenkerry Ct, Portage, MI 49024-0700
	(269) 329-2887
	(269) 329-2805

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Randall
Gender	Male
Speciality	Clinical Psychologist
Experience	20 Years
Location	3770 Glenkerry Ct, Portage, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Randall attended and graduated from Loma Linda University School Of Medicine in 2004

NPI Data:

NPI Number: 1679885602
Provider Enumeration Date: 07/07/2010
Last Update Date: 07/07/2010

Medicare PECOS Information:

PECOS PAC ID: 1951598135
Enrollment ID: I20101214000790

Medical Identifiers

Medical identifiers for Jason Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679885602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301014496 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grace Health Inc	1052229226	23

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. Jason Randall allows following entities to bill medicare on his behalf.

Entity Name	Grace Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518945278 PECOS PAC ID: 1052229226 Enrollment ID: O20040206000435

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. Jason Randall 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
Jason Randall, PSYD 61 Commerce Ave Sw, Grand Rapids, MI 49503-4124 Ph: (616) 940-0660	Jason Randall, PSYD 3770 Glenkerry Ct, Portage, MI 49024-0700 Ph: (269) 329-2887

Reviews and Comments

Psychologist in Portage, MI

Patricia Shull-blood, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5148 Lovers Ln, Suite 200, Portage, MI 49002 Phone: 269-343-3010 Fax: 269-343-3017
Mr. Timothy Lewis Radabaugh, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 742 Ludington Ave, Portage, MI 49002 Phone: 269-876-0228
Lee Carlin Sanders, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10056 Woodlawn Dr, Portage, MI 49002 Phone: 269-324-9805
Dr. Kristin Rae Gillen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606
Dr. Ollie Garfield Barnes Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 576 Romence Rd, Suite 222, Portage, MI 49024 Phone: 269-207-7373 Fax: 269-323-2282
Sheri L Heflin, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 E Centre Ave, Portage, MI 49002 Phone: 269-321-8564 Fax: 269-321-8641
Mr. Chad E Muffley, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Lane, Suite 120, Portage, MI 49002 Phone: 269-344-3080 Fax: 269-344-0543

Jason Randall, PSYD - Medicare Psychologist in Portage, MI