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

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 26 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 Name	Dr John Randolph
Gender	Male
Speciality	Family Practice
Experience	26 Years
Location	105 Liberty Blvd, Liberty, South Carolina
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1689677882	NPI	-	NPPES
2141300	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35074072 (Ohio)	Secondary
207Q00000X	Family Medicine	24613 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Greenville, SC	Home health agency
Cannon Memorial Hospital	Pickens, SC	Hospital
Anmed Health	Anderson, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cannon Memorial Hospital	8123930666	25

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 Name	Cannon Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750304135 PECOS PAC ID: 8123930666 Enrollment ID: O20031103000506

Entity Name	Cannon Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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
Travis W Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Liberty Blvd, Liberty, SC 29657 Phone: 864-843-9213

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