Tanteria Randolph, FNP-BC in Oak Harbor, WA - Medicare Nurse Practitioner

Tanteria Randolph, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Oak Harbor, Washington. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Penn State Health Community Medical Group Llc and her current practice location is 3475 N Saratoga St, Oak Harbor, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 257-9633.

Tanteria Randolph is licensed to practice in Pennsylvania (license number SP019917) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326501883.

Contact Information

	Tanteria Randolph, FNP-BC
	3475 N Saratoga St, Oak Harbor, WA 98278-4927
	(360) 257-9633
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanteria Randolph
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3475 N Saratoga St, Oak Harbor, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tanteria Randolph graduated from nursing school in 2018

NPI Data:

NPI Number: 1326501883
Provider Enumeration Date: 04/11/2019
Last Update Date: 11/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9335474410
Enrollment ID: I20190711001418

Medical Identifiers

Medical identifiers for Tanteria Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326501883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R242989 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	SP019917 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Spirit Hospital	Camp hill, PA	Hospital
St Joseph Medical Center	Reading, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penn State Health Community Medical Group Llc	8729351077	646

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. Tanteria Randolph allows following entities to bill medicare on her behalf.

Entity Name	Penn State Health Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279

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. Tanteria Randolph 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
Tanteria Randolph, FNP-BC 3475 N Saratoga St, Oak Harbor, WA 98278-4927 Ph: (360) 257-9633	Tanteria Randolph, FNP-BC 3475 N Saratoga St, Oak Harbor, WA 98278-4927 Ph: (360) 257-9633

Reviews and Comments

Nurse Practitioner Nurses in Oak Harbor, WA

Amy Ann Walchenbach, ARNP, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Se Cabot Dr Ste B101, Oak Harbor, WA 98277 Phone: 360-675-6648 Fax: 360-679-9310
Ms. Annette Fly, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Ne Goldie St, Oak Harbor, WA 98277 Phone: 360-679-5590
Mrs. Rachel Snider Hernandez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3475 N Saratoga St, Oak Harbor, WA 98278 Phone: 360-257-9580
Sarah C Owen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Se Cabot Dr Ste A3, Oak Harbor, WA 98277 Phone: 360-682-5024 Fax: 360-682-5749
Calvin John Cogburn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Se City Beach St, Unit 915, Oak Harbor, WA 98277 Phone: 360-969-0915
Ms. Stevette Javier, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Se Cabot Dr Ste B101, Oak Harbor, WA 98277 Phone: 360-914-5634 Fax: 360-678-1013
Jennifer S. Gruenwald, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Ne Goldie St, Oak Harbor, WA 98277 Phone: 360-679-5590

Tanteria Randolph, FNP-BC - Medicare Nurse Practitioner in Oak Harbor, WA