Bethany Randles, DNP | |
1303 State St, Mound City, MO 64470-1717 | |
(660) 442-5464 | |
Not Available |
Full Name | Bethany Randles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1303 State St, Mound City, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326569559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2017020420 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Home Health And Restorative Care | Fairfax, MO | Home health agency |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Community Hospital Association | Fairfax, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic And Sports Medicine Center Llc | 5294700449 | 13 |
Performance Plus Rehabilitation Center Llc | 5294791695 | 84 |
Entity Name | Northwest Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467497677 PECOS PAC ID: 7113835174 Enrollment ID: O20040720001347 |
Entity Name | Orthopedic & Sports Medicine Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093780645 PECOS PAC ID: 5294700449 Enrollment ID: O20040903000403 |
Mailing Address | Practice Location Address |
---|---|
Bethany Randles, DNP Po Box 803886, Kansas City, MO 64180-3886 Ph: (816) 232-6818 | Bethany Randles, DNP 1303 State St, Mound City, MO 64470-1717 Ph: (660) 442-5464 |
Lauren G Dozier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 514 State St, Mound City, MO 64470 Phone: 660-442-3181 | |
Elizabeth Renshaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 State St, Mound City, MO 64470 Phone: 816-596-2215 |