Dr Joseph Justis Randolph, MD - Medicare Emergency Medicine in St Cloud, MN

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Dr Joseph Justis Randolph, MD is a medicare enrolled "Emergency Medicine" physician in St Cloud, Minnesota. His current practice location is 1406 6th Ave N, St Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 255-5657.

Dr Joseph Justis Randolph is licensed to practice in Minnesota (license number 42563) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164497830.

Contact Information

Dr Joseph Justis Randolph, MD
1406 6th Ave N,
St Cloud, MN 56303-1901
(320) 255-5657
(320) 656-7194

Map and Direction




Physician's Profile

Full NameDr Joseph Justis Randolph
GenderMale
SpecialityEmergency Medicine
Location1406 6th Ave N, St Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164497830
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 02/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5991991424
  • Enrollment ID: I20101123001095

Medical Identifiers

Medical identifiers for Dr Joseph Justis Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164497830NPI-NPPES
1164497830MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 42563 (Minnesota)Primary
207P00000XEmergency Medicine MD60181938 (Washington)Secondary

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 Joseph Justis Randolph allows following entities to bill medicare on his behalf.
Entity NameUnity Family Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326234006
PECOS PAC ID: 9830003516
Enrollment ID: O20031117000732
Entity NameDouglas County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164424305
PECOS PAC ID: 0648171413
Enrollment ID: O20040115000387
Entity NameCuyuna Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861414518
PECOS PAC ID: 9537146550
Enrollment ID: O20040707000501
Entity NameUnity Family Healthcare
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1780630939
PECOS PAC ID: 9830003516
Enrollment ID: O20061104000248

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 Joseph Justis 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 Joseph Justis Randolph, MD
1406 6th Ave N,
Saint Cloud, MN 56303-1900

Ph: (320) 255-5657		Dr Joseph Justis Randolph, MD
1406 6th Ave N,
St Cloud, MN 56303-1901

Ph: (320) 255-5657

Reviews and Comments


Emergency Medicine Doctors in St Cloud, MN

Daniel Lloyd Fark, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave N, St Cloud, MN 56303
Phone: 320-255-5657    Fax: 320-656-7194
Peter L Charvat, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 6th Ave N, St Cloud Hospital, St Cloud, MN 56303
Phone: 320-255-5656    
Anthony P Haas, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave N, St Cloud Hospital, St Cloud, MN 56303
Phone: 320-255-5657    
Mr. John E Mertz, MD PHD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 6 Ave N, St Cloud, MN 56301
Phone: 320-255-5657    Fax: 320-656-7194
Michael James Severson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 Sixth Ave N, St Cloud, MN 56301
Phone: 320-255-5656    Fax: 320-656-7194
Brett Thomas Stolzenberg, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave No, St Cloud, MN 56303
Phone: 320-255-5657    Fax: 320-656-7194

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.