Randi Lynne Moreland, PA-C is a medicare enrolled "Physician Assistant" in Frontenac, Missouri. Her current practice location is
10435 Clayton Rd, Frontenac, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 985-3002.
Randi Lynne Moreland is licensed to practice in Missouri (license number 2018038670) 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 1891213658.
Provider's Profile
| Full Name | Randi Lynne Moreland |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 10435 Clayton Rd, Frontenac, Missouri |
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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: 1891213658
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 07/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567716855
- Enrollment ID: I20231024000407
Medical Identifiers
Medical identifiers for Randi Lynne Moreland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891213658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PAT9110595 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 085006651 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 2018038670 (Missouri) | Primary |
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. Randi Lynne Moreland 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 |
|---|
Randi Lynne Moreland, PA-C
335 Agnes Dr,
O Fallon, IL 62269-2202
Ph: (205) 706-0499 | Randi Lynne Moreland, PA-C
10435 Clayton Rd,
Frontenac, MO 63131-2931
Ph: (314) 985-3002 |
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