Dr Michael Shane Randolph, MD in Somerset, KY

Dr Michael Shane Randolph, MD is a medicare enrolled "Family Medicine" physician in Somerset, Kentucky. His current practice location is 104 Hardin Ln, Somerset, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 676-0786.

Dr Michael Shane Randolph is licensed to practice in Kentucky (license number 33885) 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 1023111010.

Contact Information

	Dr Michael Shane Randolph, MD
	104 Hardin Ln, Somerset, KY 42503-3800
	(606) 676-0786
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Shane Randolph
Gender	Male
Speciality	Family Medicine
Location	104 Hardin Ln, Somerset, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023111010
Provider Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890690572
Enrollment ID: I20040315000919

Medical Identifiers

Medical identifiers for Dr Michael Shane Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023111010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	33885 (Kentucky)	Primary

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 Michael Shane Randolph allows following entities to bill medicare on his behalf.

Entity Name	Ephraim Mcdowell Health Resource Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487708533 PECOS PAC ID: 7517876956 Enrollment ID: O20031218000776

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 Michael Shane 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 Michael Shane Randolph, MD 3750 Ky Hwy 2141, Stanford, KY 40484 Ph: () -	Dr Michael Shane Randolph, MD 104 Hardin Ln, Somerset, KY 42503-3800 Ph: (606) 676-0786

Reviews and Comments

Family Medicine Doctors in Somerset, KY

Dr. Brittany Paige Pittman Hardcorn, DNP, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2441 S Highway 27, Somerset, KY 42501 Phone: 606-451-0231
David M Reilly, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2601 Fax: 606-451-2641
Travis Massengale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Somerset, KY 42503 Phone: 606-451-2624 Fax: 606-451-5506
Jeffery W Golden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2650 Fax: 606-451-2641
Susan J Petrosky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Parkway Dr, Somerset, KY 42503 Phone: 606-679-4389
James David Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2662 Fax: 606-451-2641

Dr Michael Shane Randolph, MD - Medicare Family Medicine in Somerset, KY