Randel Derose, MA, CCC-SLP in Oklahoma City, OK - Medicare Speech-Language Pathologist Provider

Randel Derose, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Oklahoma City, Oklahoma. Her current practice location is 11500 N Portland Ave, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 548-4300.

Randel Derose is licensed to practice in Oklahoma (license number ) 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 1578145629.

Contact Information

	Randel Derose, MA, CCC-SLP
	11500 N Portland Ave, Oklahoma City, OK 73120-4625
	(405) 548-4300
	(405) 548-4349

Map and Direction

Healthcare Provider's Profile

Full Name	Randel Derose
Gender	Female
Speciality	Speech-language Pathologist
Location	11500 N Portland Ave, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578145629
Provider Enumeration Date: 04/27/2021
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8628474145
Enrollment ID: I20210909000888

Medical Identifiers

Medical identifiers for Randel Derose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578145629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(Oklahoma)	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. Randel Derose allows following entities to bill medicare on her behalf.

Provider Name	Hearts For Hearing Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215006150 PECOS PAC ID: 8820195399 Enrollment ID: O20070517000246

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. Randel Derose 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
Randel Derose, MA, CCC-SLP 11500 N Portland Ave, Oklahoma City, OK 73120-4625 Ph: (405) 548-4300	Randel Derose, MA, CCC-SLP 11500 N Portland Ave, Oklahoma City, OK 73120-4625 Ph: (405) 548-4300

Reviews and Comments

Speech-Language Pathologist in Oklahoma City, OK

Ms. Shanun Micaela Gibson, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9031 Sw 29th St, Oklahoma City, OK 73179 Phone: 405-732-3946 Fax: 405-261-6311
Heather Mitchell, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103 Phone: 405-355-3239
Mitsie Shurtz, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3030 Nw Expwy Ste 809, Oklahoma City, OK 73112 Phone: 405-917-7160
Hannah Lopez, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5701 Se 74th St, Oklahoma City, OK 73135 Phone: 405-610-1909 Fax: 405-910-1910
Mrs. Rheagan Diane Ballard, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2828 Nw 57th St Ste 100, Oklahoma City, OK 73112 Phone: 405-286-3749
Leigh Hibbard, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13819 Quail Pointe Dr, Oklahoma City, OK 73134 Phone: 405-467-6782
Mona Rena Ryan, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1200 N Stonewall Ave, John W Keys Speech And Hearing, Oklahoma City, OK 73117 Phone: 405-271-4214 Fax: 405-271-3360

Randel Derose, MA, CCC-SLP - Medicare Speech-Language Pathologist in Oklahoma City, OK