Chad Larsen Randol, APRN in Indialantic, FL - Medicare Nurse Practitioner

Chad Larsen Randol, APRN is a medicare enrolled "Nurse Practitioner - Family" in Indialantic, Florida. His current practice location is 351 Coconut Dr, Indialantic, Florida. You can reach out to his office (for appointments etc.) via phone at (859) 428-6492.

Chad Larsen Randol is licensed to practice in Florida (license number 11027198) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205513942.

Contact Information

	Chad Larsen Randol, APRN
	351 Coconut Dr, Indialantic, FL 32903-3843
	(859) 428-6492
	Not Available

Map and Direction

Provider's Profile

Full Name	Chad Larsen Randol
Gender	Male
Speciality	Nurse Practitioner - Family
Location	351 Coconut Dr, Indialantic, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205513942
Provider Enumeration Date: 07/04/2023
Last Update Date: 07/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6406290543
Enrollment ID: I20240216002846

Medical Identifiers

Medical identifiers for Chad Larsen Randol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205513942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11027198 (Florida)	Primary

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. Chad Larsen Randol allows following entities to bill medicare on his behalf.

Entity Name	Melbourne Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932562915 PECOS PAC ID: 2860783925 Enrollment ID: O20160620002409

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. Chad Larsen Randol 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
Chad Larsen Randol, APRN 351 Coconut Dr, Indialantic, FL 32903-3843 Ph: (859) 428-6492	Chad Larsen Randol, APRN 351 Coconut Dr, Indialantic, FL 32903-3843 Ph: (859) 428-6492

Reviews and Comments

Nurse Practitioner Nurses in Indialantic, FL

Cynthia Eileen Sullivan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 N Highway A1a Ste 147, Indialantic, FL 32903 Phone: 321-984-1333 Fax: 321-951-9127
Teena Yvonne Sanders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 5th Ave Ste C, Indialantic, FL 32903 Phone: 321-821-4882
Jessica S Magnaldi, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 6th Ave, Indialantic, FL 32903 Phone: 321-312-3501 Fax: 321-723-9176
Angel Knight, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 5th Ave, Indialantic, FL 32903 Phone: 321-327-2980
Valerie Halstead, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 763 Peregrine Dr, Indialantic, FL 32903 Phone: 321-794-9909
Mrs. Kimberly Sue Adler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 N Highway A1a, Suite 147, Indialantic, FL 32903 Phone: 321-984-1333 Fax: 321-951-9127

Chad Larsen Randol, APRN - Medicare Nurse Practitioner in Indialantic, FL