Blake Randolph, NP-C is a medicare enrolled "Nurse Practitioner" in Reinbeck, Iowa. His current practice location is
604 West St, Reinbeck, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 575-0180.
Blake Randolph is licensed to practice in Iowa (license number A156287) 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 1295382786.
Provider's Profile
| Full Name | Blake Randolph |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 604 West St, Reinbeck, Iowa |
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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:
- Blake Randolph attended and graduated from in
NPI Data:
- NPI Number: 1295382786
- Provider Enumeration Date: 08/20/2019
- Last Update Date: 08/21/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Blake Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295382786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A156287 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A156287 (Iowa) | Primary |
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. Blake 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 Address | Practice Location Address |
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Blake Randolph, NP-C
604 West St,
Reinbeck, IA 50669-1353
Ph: (319) 575-0180 | Blake Randolph, NP-C
604 West St,
Reinbeck, IA 50669-1353
Ph: (319) 575-0180 |
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