Charles D Randolph, MD - Medicare Family Practice in Grand Coulee, WA

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Charles D Randolph, MD is a medicare enrolled "Family Medicine" physician in Grand Coulee, Washington. He went to Loma Linda University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District and his current practice location is 411 Fortuyn Rd, Grand Coulee, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 633-1911.

Charles D Randolph is licensed to practice in Washington (license number MD61172546) 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 1760040281.

Contact Information

Charles D Randolph, MD
411 Fortuyn Rd,
Grand Coulee, WA 99133-8718
(509) 633-1911
(509) 633-3644

Map and Direction




Physician's Profile

Full NameCharles D Randolph
GenderMale
SpecialityFamily Practice
Experience7 Years
Location411 Fortuyn Rd, Grand Coulee, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles D Randolph attended and graduated from Loma Linda University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1760040281
  • Provider Enumeration Date: 05/30/2019
  • Last Update Date: 07/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254667439
  • Enrollment ID: I20220526001092

Medical Identifiers

Medical identifiers for Charles D Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760040281NPI-NPPES
2136043MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD61172546 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coulee Medical CenterGrand coulee, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District933505028527

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. Charles D Randolph allows following entities to bill medicare on his behalf.
Entity NameDouglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265422935
PECOS PAC ID: 9335050285
Enrollment ID: O20040311000181
Entity NameDouglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184844185
PECOS PAC ID: 9335050285
Enrollment ID: O20061104000547

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. Charles D 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
Charles D Randolph, MD
411 Fortuyn Rd,
Grand Coulee, WA 99133-8718

Ph: (509) 633-1911		Charles D Randolph, MD
411 Fortuyn Rd,
Grand Coulee, WA 99133-8718

Ph: (509) 633-1911

Reviews and Comments


Family Medicine Doctors in Grand Coulee, WA

Jennifer Knox, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133
Phone: 509-633-1753    Fax: 509-633-1933
Roy Allen Myers, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133
Phone: 509-633-1911    Fax: 509-633-1933
Kathleen Kelly Cohen, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133
Phone: 509-633-1753    

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.