Jeffrey Gordon Randall, LCSW/MSSW in Sun Prairie, WI - Medicare Clinical Social Worker Provider

Jeffrey Gordon Randall, LCSW/MSSW is a medicare enrolled "Social Worker - Clinical" provider in Sun Prairie, Wisconsin. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Dean Health Systems Inc and his current practice location is 10 Tower Dr, Sun Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 825-3500.

Jeffrey Gordon Randall is licensed to practice in Wisconsin (license number 8455-123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780916577.

Contact Information

	Jeffrey Gordon Randall, LCSW/MSSW
	10 Tower Dr, Sun Prairie, WI 53590-1239
	(608) 825-3500
	(608) 824-4918

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Gordon Randall
Gender	Male
Speciality	Clinical Social Worker
Experience	13 Years
Location	10 Tower Dr, Sun Prairie, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey Gordon Randall graduated from medical school in 2011

NPI Data:

NPI Number: 1780916577
Provider Enumeration Date: 02/04/2010
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 7517222342
Enrollment ID: I20180529001868

Medical Identifiers

Medical identifiers for Jeffrey Gordon Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780916577	NPI	-	NPPES
1780916577	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8455-123 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dean Health Systems Inc	7012827983	1068

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. Jeffrey Gordon Randall allows following entities to bill medicare on his behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Jeffrey Gordon Randall 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
Jeffrey Gordon Randall, LCSW/MSSW 10 Tower Dr, Sun Prairie, WI 53590-1239 Ph: (608) 825-3500	Jeffrey Gordon Randall, LCSW/MSSW 10 Tower Dr, Sun Prairie, WI 53590-1239 Ph: (608) 825-3500

Reviews and Comments

Social Worker in Sun Prairie, WI

Daniel Villarreal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 722 Lois Dr, Sun Prairie, WI 53590 Phone: 608-837-9112
Emma Phillips Myren, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Frederick St, Sun Prairie, WI 53590 Phone: 608-389-0330
Mr. Christopher D Peters, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3500 Fax: 608-825-3793
Patricia L Hottmann-rindy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3793
Jody L Klumb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3793
Jodelle S Mccamey, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 778 Lois Dr., Sun Prairie, WI 53590 Phone: 608-837-9112
Mary Eldridge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1067 Derby Dr, Sun Prairie, WI 53590 Phone: 281-635-9996

Jeffrey Gordon Randall, LCSW/MSSW - Medicare Clinical Social Worker in Sun Prairie, WI