Colton Jason Randall, PA-C - Medicare Physician Assistant in Twin Falls, ID

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Colton Jason Randall, PA-C is a medicare enrolled "Physician Assistant" in Twin Falls, Idaho. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Lukes Clinic Llc and his current practice location is 775 Pole Line Rd W Ste 112, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-8200.

Colton Jason Randall is licensed to practice in Idaho (license number PA-1928) 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 1174148696.

Contact Information

Colton Jason Randall, PA-C
775 Pole Line Rd W Ste 112,
Twin Falls, ID 83301-5819
(208) 814-8200
(208) 933-4921

Map and Direction




Provider's Profile

Full NameColton Jason Randall
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location775 Pole Line Rd W Ste 112, Twin Falls, Idaho
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:
  • Colton Jason Randall graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1174148696
  • Provider Enumeration Date: 06/10/2020
  • Last Update Date: 02/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0446662019
  • Enrollment ID: I20201224000479

Medical Identifiers

Medical identifiers for Colton Jason Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174148696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-1928 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital
St Luke's Magic Valley RmcTwin falls, IDHospital
Nell J Redfield Memorial HospitalMalad, IDHospital
Bear Lake Memorial HospitalMontpelier, IDHospital
Caribou Medical CenterSoda springs, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic Llc1052217478313

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. Colton Jason Randall allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameGarden Valley Family Medicine PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245312750
PECOS PAC ID: 0648296814
Enrollment ID: O20051017000994
Entity NamePocatello Health Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689802852
PECOS PAC ID: 6608927637
Enrollment ID: O20090701000646

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. Colton Jason 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 AddressPractice Location Address
Colton Jason Randall, PA-C
190 E Bannock St,
Boise, ID 83712-6241

Ph: Not Available		Colton Jason Randall, PA-C
775 Pole Line Rd W Ste 112,
Twin Falls, ID 83301-5819

Ph: (208) 814-8200

Reviews and Comments


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Ryan Dennis Hodges, PA
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Mrs. Kimberly Dolecheck Tverdy, PA-C
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John Laurent Etcheto, PA
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Phone: 208-733-3181    Fax: 208-733-3168
Mindy L Brown, PA
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Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301
Phone: 208-814-8500    Fax: 208-734-4143
Abelardo Benitez,
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Practice Location: 794 Eastland Dr, Twin Falls, ID 83301
Phone: 208-734-3312    Fax: 208-734-5036

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.