Benjamin Randerson, in Kenosha, WI - Medicare Physician Assistant

Benjamin Randerson, is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 948-5600.

Benjamin Randerson is licensed to practice in Wisconsin (license number 7503) 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 1285332072.

Contact Information

	Benjamin Randerson,
	10400 75th St, Kenosha, WI 53142-7884
	(262) 948-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Randerson
Gender	Male
Speciality	Physician Assistant
Experience	2 Years
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin Randerson graduated from nursing school in 2023

NPI Data:

NPI Number: 1285332072
Provider Enumeration Date: 02/21/2023
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3274987466
Enrollment ID: I20230921001493

Medical Identifiers

Medical identifiers for Benjamin Randerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285332072	NPI	-	NPPES
100250637	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	7503 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3491

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. Benjamin Randerson 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
Benjamin Randerson, Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 948-5600	Benjamin Randerson, 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600

Reviews and Comments

Physician Assistant Nurses in Kenosha, WI

David B Kite, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841
Miss Sarah Rens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591
Alison M Ketterhagen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600
Marisa K Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St Ste 315, Kenosha, WI 53142 Phone: 262-948-7815
Mr. William Henry Price, RSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4819 5th Ave, Unit 2, Kenosha, WI 53140 Phone: 847-917-3666 Fax: 888-370-3138
Ms. Peyton Flynn Weber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314

Benjamin Randerson, - Medicare Physician Assistant in Kenosha, WI