Mr Vincenzo Randazzo, PA is a medicare enrolled "Physician Assistant - Medical" physician in Lone Tree, Colorado. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Colorado Permanente Medical Group Pc and his current practice location is
10240 Park Meadows Dr, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 338-4545.
Mr Vincenzo Randazzo is licensed to practice in Colorado (license number PA.0004065) 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 1417034737.
Physician's Profile
| Full Name | Mr Vincenzo Randazzo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Vincenzo Randazzo graduated from medical school in 2005
NPI Data:
- NPI Number: 1417034737
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 05/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476868126
- Enrollment ID: I20150811003442
Medical Identifiers
Medical identifiers for Mr Vincenzo Randazzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417034737 | NPI | - | NPPES |
| 028228 | Other | CO | KAISER COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | P47669 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA.0004065 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Colorado Permanente Medical Group Pc | 1254238454 | 1122 |
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. Mr Vincenzo Randazzo 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 |
|---|
Mr Vincenzo Randazzo, PA
10350 E Dakota Ave,
Denver, CO 80247-1314
Ph: () - | Mr Vincenzo Randazzo, PA
10240 Park Meadows Dr,
Lone Tree, CO 80124-5425
Ph: (303) 338-4545 |
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