Randall Troy Tingle, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Campbellsburg, Kentucky. His current practice location is
58 Citation Ln, Campbellsburg, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 532-7341.
Randall Troy Tingle is licensed to practice in Kentucky (license number 3015245) 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 1376164814.
Provider's Profile
| Full Name | Randall Troy Tingle |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 58 Citation Ln, Campbellsburg, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376164814
- Provider Enumeration Date: 05/06/2020
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375954514
- Enrollment ID: I20201119002325
Medical Identifiers
Medical identifiers for Randall Troy Tingle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376164814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3015245 (Kentucky) | 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 Troy Tingle allows following entities to bill medicare on his behalf.
| Entity Name | Cedar Lake Residences Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447396049
PECOS PAC ID: 8224449467
Enrollment ID: O20201119002063 |
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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 Troy Tingle 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 Troy Tingle, FNP-C
58 Citation Ln,
Campbellsburg, KY 40011-7590
Ph: (502) 639-0599 | Randall Troy Tingle, FNP-C
58 Citation Ln,
Campbellsburg, KY 40011-7590
Ph: (502) 532-7341 |
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