Bonnie L Randolph, MD - Medicare Family Practice in Torrington, WY

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Bonnie L Randolph, MD is a medicare enrolled "Family Medicine" physician in Torrington, Wyoming. She went to University Of Utah School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Banner Health Physicians West Llc, Banner Health Physicians West Llc, Community Hospital and her current practice location is 625 Albany Ave, Torrington, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 532-2107.

Bonnie L Randolph is licensed to practice in Wyoming (license number 5437A) 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 1427153873.

Contact Information

Bonnie L Randolph, MD
625 Albany Ave,
Torrington, WY 82240-1530
(307) 532-2107
Not Available

Map and Direction




Physician's Profile

Full NameBonnie L Randolph
GenderFemale
SpecialityFamily Practice
Experience31 Years
Location625 Albany Ave, Torrington, Wyoming
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bonnie L Randolph attended and graduated from University Of Utah School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1427153873
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 01/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9436178241
  • Enrollment ID: I20051121000957

Medical Identifiers

Medical identifiers for Bonnie L Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427153873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5437A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community HospitalTorrington, WYHospital
Regional West Medical CenterScottsbluff, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Health Physicians West Llc509297886674
Banner Health Physicians West Llc509297886674
Community Hospital660878419426

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. Bonnie L Randolph allows following entities to bill medicare on her behalf.
Entity NamePlatte County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265469506
PECOS PAC ID: 6709798150
Enrollment ID: O20031104000172
Entity NameCommunity Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669410643
PECOS PAC ID: 6608784194
Enrollment ID: O20040127001124
Entity NameCommunity Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1669410643
PECOS PAC ID: 6608784194
Enrollment ID: O20061104000311
Entity NameBanner Health Physicians West Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063778728
PECOS PAC ID: 5092978866
Enrollment ID: O20120607000123

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. Bonnie L 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 AddressPractice Location Address
Bonnie L Randolph, MD
625 Albany Avenue,
Torrington, WY 82240

Ph: (307) 532-2107		Bonnie L Randolph, MD
625 Albany Ave,
Torrington, WY 82240-1530

Ph: (307) 532-2107

Reviews and Comments


Family Medicine Doctors in Torrington, WY

Mr. Paul N Langevin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Campbell Dr, Torrington, WY 82240
Phone: 307-534-7165    Fax: 307-532-5381
Ezdan A Fluckiger, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Albany Ave, Torrington, WY 82240
Phone: 307-532-2107    
Dr. Norma S Cantu, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Albany Ave, Banner Medical Clinic, Torrington, WY 82240
Phone: 307-532-2107    Fax: 307-532-5617
Marion N. Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Albany Ave, Torrington, WY 82240
Phone: 307-532-2107    
Issifi Karimou, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Albany Ave, Torrington, WY 82240
Phone: 307-534-7058    Fax: 307-532-5617
Millard Todd Berry, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 625 Albany Ave, Torrington, WY 82240
Phone: 307-532-2107    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.