John Randolph, LPC-MHSP in Knoxville, TN - Medicare Counselor Provider

John Randolph, LPC-MHSP is a medicare enrolled "Counselor - Professional" provider in Knoxville, Tennessee. His current practice location is 705 Gate Ln Ste 102, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 444-8580.

John Randolph is licensed to practice in Tennessee (license number 5993) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073264115.

Contact Information

	John Randolph, LPC-MHSP
	705 Gate Ln Ste 102, Knoxville, TN 37909-3519
	(865) 444-8580
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John Randolph
Gender	Male
Speciality	Counselor - Professional
Location	705 Gate Ln Ste 102, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073264115
Provider Enumeration Date: 01/11/2022
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 0042652190
Enrollment ID: I20240521003915

Medical Identifiers

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

Identifier	Type	State	Issuer
1073264115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	5993 (Tennessee)	Primary

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. John Randolph allows following entities to bill medicare on his behalf.

Entity Name	Cherokee Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769

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. John 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
John Randolph, LPC-MHSP 705 Gate Ln Ste 102, Knoxville, TN 37909-3519 Ph: (865) 444-8580	John Randolph, LPC-MHSP 705 Gate Ln Ste 102, Knoxville, TN 37909-3519 Ph: (865) 444-8580

Reviews and Comments

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John Randolph, LPC-MHSP - Medicare Counselor in Knoxville, TN