| Dr Laura C Randolph, MD | |
|
2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | |
| (309) 664-6222 | |
| (309) 664-5006 |
| Full Name | Dr Laura C Randolph |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 29 Years |
| Location | 2502 E Empire St, Bloomington, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710906557 | NPI | - | NPPES |
| 036100030 | Medicaid | IL | |
| 097565 | Other | IL | HEALTH ALLIANCE |
| P00193845 | Other | IL | RURAL MEDICARE |
| 5732066 | Other | IL | BLUE CROSS BLUE SHIELD |
| 686867 | Other | IL | HEALTH LINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 36-100030 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Entity Name | Laura C Randolph Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255527727 PECOS PAC ID: 0547239667 Enrollment ID: O20040927000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura C Randolph, MD 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 Ph: (309) 664-6222 | Dr Laura C Randolph, MD 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 Ph: (309) 664-6222 |
Dr. Otis George Allen, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1215 Holiday Dr, Bloomington, IL 61704 Phone: 309-827-3881 Fax: 309-661-0234 | |
Dr. Paige C. Holt, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-4444 Fax: 309-664-5006 | |
Dr. Chad Tattini, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-1007 Fax: 309-664-5006 |