Becky Randall, is a medicare enrolled "Physician Assistant" in St. Cloud, Minnesota. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Centracare Clinic and her current practice location is
1406 6th Ave N, St. Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 742-7684.
Becky Randall is licensed to practice in Minnesota (license number 12679) 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 1427543735.
Provider's Profile
| Full Name | Becky Randall |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 1406 6th Ave N, St. Cloud, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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:
- Becky Randall graduated from nursing school in 2017
NPI Data:
- NPI Number: 1427543735
- Provider Enumeration Date: 06/28/2018
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234482779
- Enrollment ID: I20181030001532
Medical Identifiers
Medical identifiers for Becky Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427543735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 12679 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centracare Clinic | 2466363395 | 701 |
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. Becky 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 |
|---|
Becky Randall,
15364 92nd St Ne,
Otsego, MN 55330-7209
Ph: (763) 742-7684 | Becky Randall,
1406 6th Ave N,
St. Cloud, MN 56303-1901
Ph: (763) 742-7684 |
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