Laura Randolph, DO - Medicare Obstetrics/gynecology in Statesville, NC

  1. Home
  2. Obstetrics & Gynecology
  3. NC
  4. Statesville
Laura Randolph, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Statesville, North Carolina. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2011 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice St Marys Medical Group Llc and her current practice location is 1446 Fern Creek Dr, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 873-9617.

Laura Randolph is licensed to practice in North Carolina (license number 202000517) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558666362.

Contact Information

Laura Randolph, DO
1446 Fern Creek Dr,
Statesville, NC 28625-9376
(704) 873-9617
Not Available

Map and Direction




Physician's Profile

Full NameLaura Randolph
GenderFemale
SpecialityObstetrics/gynecology
Experience14 Years
Location1446 Fern Creek Dr, Statesville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Laura Randolph attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2011
  NPI Data:
  • NPI Number: 1558666362
  • Provider Enumeration Date: 01/26/2011
  • Last Update Date: 07/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769791631
  • Enrollment ID: I20230919002478

Medical Identifiers

Medical identifiers for Laura Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558666362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2020-00517 (North Carolina)Secondary
207V00000XObstetrics & Gynecology 02004295A (Indiana)Secondary
207V00000XObstetrics & Gynecology 202000517 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent EvansvilleEvansville, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Medical Group Llc1153493341219

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. Laura Randolph allows following entities to bill medicare on her behalf.
Entity NameHancock Physician Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609806470
PECOS PAC ID: 8325952633
Enrollment ID: O20040130000777
Entity NameRiverview Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609074921
PECOS PAC ID: 1153216627
Enrollment ID: O20040216000572
Entity NameHancock Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255418356
PECOS PAC ID: 1850205162
Enrollment ID: O20040401000258
Entity NameSt Marys Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164852539
PECOS PAC ID: 1153493341
Enrollment ID: O20140313001275

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. Laura 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
Laura Randolph, DO
Po Box 1845,
Statesville, NC 28687-1845

Ph: (704) 873-4277		Laura Randolph, DO
1446 Fern Creek Dr,
Statesville, NC 28625-9376

Ph: (704) 873-9617

Reviews and Comments


Obstetrics & Gynecology Doctors in Statesville, NC

Edwin M. Fulghum, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 208 Old Mocksville Rd, Statesville, NC 28625
Phone: 704-838-8230    
Jennifer Lynn Parker, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1446 Fern Creek Dr, Statesville, NC 28625
Phone: 704-873-9617    
Stephen Coarsey,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1420 Fern Creek Dr, Statesville, NC 28625
Phone: 704-872-7294    
Susan Lee, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1446 Fern Creek Dr, Statesville, NC 28625
Phone: 704-873-9617    
Dr. Jamila Aisha Wade, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1446 Fern Creek Dr, Statesville, NC 28625
Phone: 704-873-9617    
Dr. Mary Ellen Torres, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1804 Davie Ave, Statesville, NC 28677
Phone: 704-873-7250    Fax: 704-878-9457

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.