Melanie Lorene Randolph, MSW, LCSW in Walnut Creek, CA

Melanie Lorene Randolph, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Walnut Creek, California. Her current practice location is 2255 Ygnacio Valley Rd Ste W, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 406-3208.

Melanie Lorene Randolph is licensed to practice in California (license number 81995) 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 1366750416.

Contact Information

	Melanie Lorene Randolph, MSW, LCSW
	2255 Ygnacio Valley Rd Ste W, Walnut Creek, CA 94598-3347
	(925) 406-3208
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melanie Lorene Randolph
Gender	Female
Speciality	Social Worker - Clinical
Location	2255 Ygnacio Valley Rd Ste W, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366750416
Provider Enumeration Date: 09/22/2010
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5698174290
Enrollment ID: I20210602001689

Medical Identifiers

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

Identifier	Type	State	Issuer
1366750416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	81995 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Melanie Lorene Randolph allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Melanie Lorene 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
Melanie Lorene Randolph, MSW, LCSW 7550 St Patrick Way Apt 510, Dublin, CA 94568-4885 Ph: (916) 996-9119	Melanie Lorene Randolph, MSW, LCSW 2255 Ygnacio Valley Rd Ste W, Walnut Creek, CA 94598-3347 Ph: (925) 406-3208

Reviews and Comments

Social Worker in Walnut Creek, CA

Mr. Edward Hal Pieczenik, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-5237
Mr. Jonathan Knight Palley, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-5257 Fax: 925-295-7224
Mrs. Moushumi Sen, ASW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Lennon Ln, Suite 150, Walnut Creek, CA 94598 Phone: 925-930-9373
Mr. Allen Choi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1844 San Miguel Dr Ste 306a, Walnut Creek, CA 94596 Phone: 510-823-9069
Sara Patricia Sakarata, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1308 Boulevard Way Apt D, Walnut Creek, CA 94595 Phone: 925-451-1814
Ms. Sue Ellen Flood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 S Broadway, Walnut Creek, CA 94596 Phone: 925-295-5263 Fax: 925-295-5226
Angelia Maria Reese-galloway, MSW, ASW, PH. D.-ABD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 Citrus Cir Ste 220, Walnut Creek, CA 94598 Phone: 925-689-5811 Fax: 925-429-9254

Melanie Lorene Randolph, MSW, LCSW - Medicare Clinical Social Worker in Walnut Creek, CA