Randall Bradford Choka, FNP is a medicare enrolled "Nurse Practitioner - Family" in St Maries, Idaho. His current practice location is
229 S 7th St, St Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 245-5551.
Randall Bradford Choka is licensed to practice in Washington (license number AP60291455) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417206442.
Provider's Profile
Full Name | Randall Bradford Choka |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 229 S 7th St, St Maries, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417206442
- Provider Enumeration Date: 09/06/2012
- Last Update Date: 09/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 2567606981
- Enrollment ID: I20140203000454
Medical Identifiers
Medical identifiers for Randall Bradford Choka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417206442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP60291455 (Washington) | 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. Randall Bradford Choka allows following entities to bill medicare on his behalf.
Entity Name | Molina Healthcare Of Washington Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912235060 PECOS PAC ID: 1850427527 Enrollment ID: O20100405000336 |
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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. Randall Bradford Choka 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 |
Randall Bradford Choka, FNP 229 S 7th St, St Maries, ID 83861-1803 Ph: (208) 245-5551 | Randall Bradford Choka, FNP 229 S 7th St, St Maries, ID 83861-1803 Ph: (208) 245-5551 |
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