Mrs Mckenzie Marie Randall, DPT, PT, ATC in Chamberlain, SD - Medicare Physical Therapist In Private Practice

Mrs Mckenzie Marie Randall, DPT, PT, ATC is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Chamberlain, South Dakota. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Avera Queen Of Peace and her current practice location is 200 Paul Gust Rd Ste 109, Chamberlain, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 234-0165.

Mrs Mckenzie Marie Randall is licensed to practice in South Dakota (license number 1767) 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 1477381010.

Contact Information

	Mrs Mckenzie Marie Randall, DPT, PT, ATC
	200 Paul Gust Rd Ste 109, Chamberlain, SD 57325-1021
	(605) 234-0165
	(605) 234-0164

Map and Direction

Physician's Profile

Full Name	Mrs Mckenzie Marie Randall
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	12 Years
Location	200 Paul Gust Rd Ste 109, Chamberlain, South Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mckenzie Marie Randall graduated from medical school in 2014

NPI Data:

NPI Number: 1477381010
Provider Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8022549229
Enrollment ID: I20240929000125

Medical Identifiers

Medical identifiers for Mrs Mckenzie Marie Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477381010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	1767 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Queen Of Peace	9335050806	105

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. Mrs Mckenzie Marie Randall allows following entities to bill medicare on her behalf.

Entity Name	Avera Queen Of Peace
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301

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. Mrs Mckenzie Marie Randall 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
Mrs Mckenzie Marie Randall, DPT, PT, ATC 34358 254th St, Chamberlain, SD 57325-6320 Ph: (605) 464-1466	Mrs Mckenzie Marie Randall, DPT, PT, ATC 200 Paul Gust Rd Ste 109, Chamberlain, SD 57325-1021 Ph: (605) 234-0165

Mrs Mckenzie Marie Randall, DPT, PT, ATC - Medicare Physical Therapist In Private Practice in Chamberlain, SD