Dr John Randolph, MD - Medicare Family Practice in Liberty, SC

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Dr John Randolph, MD is a medicare enrolled "Family Medicine" physician in Liberty, South Carolina. He went to Ohio State University College Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cannon Memorial Hospital and his current practice location is 105 Liberty Blvd, Liberty, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 843-8500.

Dr John Randolph is licensed to practice in South Carolina (license number 24613) 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 1689677882.

Contact Information

Dr John Randolph, MD
105 Liberty Blvd,
Liberty, SC 29657-1641
(864) 843-8500
(864) 843-5634

Map and Direction




Physician's Profile

Full NameDr John Randolph
GenderMale
SpecialityFamily Practice
Experience27 Years
Location105 Liberty Blvd, Liberty, South Carolina
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:
  • Dr John Randolph attended and graduated from Ohio State University College Of Medicine in 1998
  NPI Data:
  • NPI Number: 1689677882
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 10/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2062557622
  • Enrollment ID: I20141226000079

Medical Identifiers

Medical identifiers for Dr John Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689677882NPI-NPPES
2141300MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35074072 (Ohio)Secondary
207Q00000XFamily Medicine 24613 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cannon Memorial HospitalPickens, SCHospital
Anmed HealthAnderson, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cannon Memorial Hospital812393066624

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. Dr John Randolph allows following entities to bill medicare on his behalf.
Entity NameCannon Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750304135
PECOS PAC ID: 8123930666
Enrollment ID: O20031103000506
Entity NameCannon Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497744254
PECOS PAC ID: 8123930666
Enrollment ID: O20040115000729

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. Dr 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 AddressPractice Location Address
Dr John Randolph, MD
Po Box 919,
Pickens, SC 29671-0919

Ph: (864) 897-8277		Dr John Randolph, MD
105 Liberty Blvd,
Liberty, SC 29657-1641

Ph: (864) 843-8500

Reviews and Comments


Family Medicine Doctors in Liberty, SC

Jerome H Waller Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 W Front St, Liberty, SC 29657
Phone: 864-843-5605    Fax: 864-843-0996
Mark D Walsh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 W Front St, Liberty, SC 29657
Phone: 864-843-5605    Fax: 864-843-0996
Lori R Carnsew, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Front St, Liberty, SC 29657
Phone: 864-843-5605    Fax: 864-843-0996

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.