Ms Mary Serena Randol, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Princeton, Texas. graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. current practice location is
1107 Mahogany Ln, Princeton, Texas. You can reach out to office (for appointments etc.) via phone at
(469) 793-0122.
Ms Mary Serena Randol is licensed to practice in Texas (license number 104248) and also participates in the medicare program.
accepts medicare assignments (which means accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and NPI Number is 1205639390.
Healthcare Provider's Profile
| Full Name | Ms Mary Serena Randol |
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| Gender | |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 1107 Mahogany Ln, Princeton, Texas |
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| Accepts Medicare Assignments | Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Mary Serena Randol graduated from medical school in 2020
NPI Data:
- NPI Number: 1205639390
- Provider Enumeration Date: 04/01/2025
- Last Update Date: 04/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365954757
- Enrollment ID: I20250724004313
Medical Identifiers
Medical identifiers for Ms Mary Serena Randol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205639390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 104248 (Texas) | 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. Ms Mary Serena Randol 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 |
Ms Mary Serena Randol, LCSW 1107 Mahogany Ln, Princeton, TX 75407-1280 Ph: (469) 793-0122 | Ms Mary Serena Randol, LCSW 1107 Mahogany Ln, Princeton, TX 75407-1280 Ph: (469) 793-0122 |
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