| Dr Andrew Jerome Randolph, MD, PA | |
|
1025 N Stone St, Suite B, Deland, FL 32720-0803 | |
| (386) 734-4453 | |
| (386) 734-1130 |
| Full Name | Dr Andrew Jerome Randolph |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 1025 N Stone St, Deland, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982775706 | NPI | - | NPPES |
| 10718618 | Other | FL | CAQH PROVIDER # |
| 044348400 | Medicaid | FL | |
| 592870603 | Other | FL | TAX ID |
| 02590 | Other | FL | PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 49576 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Deland | Deland, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Entity Name | Memorial Hospital-west Volusia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669639415 PECOS PAC ID: 5991763724 Enrollment ID: O20041228000200 |
| Entity Name | Andrew J. Randolph Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720381833 PECOS PAC ID: 9537348867 Enrollment ID: O20110119000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Jerome Randolph, MD, PA 1025 North Stone Street, Suite B, Deland, FL 32720 Ph: () - | Dr Andrew Jerome Randolph, MD, PA 1025 N Stone St, Suite B, Deland, FL 32720-0803 Ph: (386) 734-4453 |
Dr. Tomas Rodriguez Molinet, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste D, Deland, FL 32720 Phone: 386-822-9112 Fax: 386-424-5249 | |
Dr. Lawrence M Gilliard, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 N Spring Garden Ave, Deland, FL 32720 Phone: 386-734-0348 Fax: 386-740-7649 | |
Dr. Ananth Krishnan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Peachwood Dr, Suite 2, Deland, FL 32720 Phone: 386-736-6066 Fax: 386-738-5890 | |
Yogesh Jadhao, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W Plymouth Ave, Deland, FL 32720 Phone: 386-943-3160 Fax: 386-943-3169 | |
Reginald Luc Marie Schutt-aine, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St, Suite A, Deland, FL 32720 Phone: 386-943-7100 Fax: 386-738-2624 | |
Steven Shinn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1590 S Sr 15a Ste 100, Deland, FL 32720 Phone: 386-774-0016 | |
Dr. Jeffrey A Goldstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1070 N Stone St Ste D, Deland, FL 32720 Phone: 386-943-3270 Fax: 386-822-9112 |