Blake Randolph, NP-C - Medicare Nurse Practitioner in Reinbeck, IA

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Blake Randolph, NP-C is a medicare enrolled "Nurse Practitioner" in Reinbeck, Iowa. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Trinity Regional Medical Center and 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.

Contact Information

Blake Randolph, NP-C
604 West St,
Reinbeck, IA 50669-1353
(319) 575-0180
Not Available

Map and Direction




Provider's Profile

Full NameBlake Randolph
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location604 West St, Reinbeck, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Randolph graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1295382786
  • Provider Enumeration Date: 08/20/2019
  • Last Update Date: 08/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880926955
  • Enrollment ID: I20191023001966

Medical Identifiers

Medical identifiers for Blake Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295382786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A156287 (Iowa)Secondary
363L00000XNurse Practitioner A156287 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Regional Medical CenterFort dodge, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Regional Medical Center7315858529173

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. Blake Randolph allows following entities to bill medicare on his behalf.
Entity NameMcfarland Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639135643
PECOS PAC ID: 1254244239
Enrollment ID: O20031106000338
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20031118000363
Entity NameAllen Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891772927
PECOS PAC ID: 4284546045
Enrollment ID: O20031211000480

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 AddressPractice Location Address
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

Reviews and Comments


Nurse Practitioner Nurses in Reinbeck, IA

Tiffany Lynn Buchheit, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Main St, Reinbeck, IA 50669
Phone: 319-345-6461    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.