Dr Joseph Justis Randolph, MD | |
1406 6th Ave N, St Cloud, MN 56303-1901 | |
(320) 255-5657 | |
(320) 656-7194 |
Full Name | Dr Joseph Justis Randolph |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 1406 6th Ave N, St Cloud, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164497830 | NPI | - | NPPES |
1164497830 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 42563 (Minnesota) | Primary |
207P00000X | Emergency Medicine | MD60181938 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cuyuna Regional Medical Center | Crosby, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Douglas County Hospital | 0648171413 | 101 |
Entity Name | Unity Family Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
Entity Name | Douglas County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164424305 PECOS PAC ID: 0648171413 Enrollment ID: O20040115000387 |
Entity Name | Cuyuna Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
Entity Name | Unity Family Healthcare |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Justis Randolph, MD 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 255-5657 | Dr Joseph Justis Randolph, MD 1406 6th Ave N, St Cloud, MN 56303-1901 Ph: (320) 255-5657 |
Daniel Lloyd Fark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, St Cloud, MN 56303 Phone: 320-255-5657 Fax: 320-656-7194 | |
Peter L Charvat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, St Cloud Hospital, St Cloud, MN 56303 Phone: 320-255-5656 | |
Anthony P Haas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, St Cloud Hospital, St Cloud, MN 56303 Phone: 320-255-5657 | |
Mr. John E Mertz, MD PHD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1406 6 Ave N, St Cloud, MN 56301 Phone: 320-255-5657 Fax: 320-656-7194 | |
Michael James Severson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1406 Sixth Ave N, St Cloud, MN 56301 Phone: 320-255-5656 Fax: 320-656-7194 | |
Brett Thomas Stolzenberg, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave No, St Cloud, MN 56303 Phone: 320-255-5657 Fax: 320-656-7194 |