Amy Randolph, MED, CCC-SLP in Charlotte, NC - Medicare Speech-Language Pathologist Provider

Amy Randolph, MED, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Charlotte, North Carolina. Her current practice location is 8810 Laurel Run Dr, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 599-6994.

Amy Randolph is licensed to practice in North Carolina (license number 5025) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295910057.

Contact Information

	Amy Randolph, MED, CCC-SLP
	8810 Laurel Run Dr, Charlotte, NC 28269-6162
	(910) 599-6994
	(704) 274-9212

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Randolph
Gender	Female
Speciality	Speech-language Pathologist
Location	8810 Laurel Run Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295910057
Provider Enumeration Date: 12/29/2007
Last Update Date: 06/01/2011

Medicare PECOS Information:

PECOS PAC ID: 2163885062
Enrollment ID: I20230824003545

Medical Identifiers

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

Identifier	Type	State	Issuer
1295910057	NPI	-	NPPES
7211429	Other	NC	MEDICAID GROUP PROVIDER #
7411551	Medicaid	NC
11945	Other	NC	BCBS PROVIDER #
5025	Other	NC	NC LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5025 (North Carolina)	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. Amy Randolph allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631

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. Amy 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
Amy Randolph, MED, CCC-SLP 8810 Laurel Run Dr, Charlotte, NC 28269-6162 Ph: (910) 599-6994	Amy Randolph, MED, CCC-SLP 8810 Laurel Run Dr, Charlotte, NC 28269-6162 Ph: (910) 599-6994

Reviews and Comments

Speech-Language Pathologist in Charlotte, NC

Tia Mcknight, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9120 Lenox Pointe Dr, Apt. 206, Charlotte, NC 28273 Phone: 931-205-7669
Mrs. Christina Berkau Pope, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1116 Linda Ln, Charlotte, NC 28211 Phone: 919-815-7184
Mrs. Lindsay R Starr, MHS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2124 Chatham Ave, Charlotte, NC 28205 Phone: 314-703-8013
Primus Therapy Services, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9407 Pastern Ct, Charlotte, NC 28216 Phone: 704-779-2663
Catherine Maria Graye, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1805 Mt Isle Harbor Dr, Charlotte, NC 28214 Phone: 704-277-0294
Speechworks Therapy Services Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3116 Milton Rd Ste F, Charlotte, NC 28215 Phone: 980-237-6226 Fax: 980-237-6288
Lindsay M White, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8484 Fax: 704-355-4231

Amy Randolph, MED, CCC-SLP - Medicare Speech-Language Pathologist in Charlotte, NC