Cori Lynn Randall, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ashley, North Dakota. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ashley Medical Center and her current practice location is
612 Center Ave N, Ashley, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 288-3433.
Cori Lynn Randall is licensed to practice in North Dakota (license number R29524) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083182174.
Provider's Profile
| Full Name | Cori Lynn Randall |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 612 Center Ave N, Ashley, North Dakota |
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| Accepts Medicare Assignments | Yes. She 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:
- Cori Lynn Randall graduated from nursing school in 2018
NPI Data:
- NPI Number: 1083182174
- Provider Enumeration Date: 11/06/2018
- Last Update Date: 11/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466798475
- Enrollment ID: I20190111003070
Medical Identifiers
Medical identifiers for Cori Lynn Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083182174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R29524 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ashley Medical Center | 8628981834 | 7 |
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. Cori Lynn Randall allows following entities to bill medicare on her behalf.
| Entity Name | Ashley Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851335830
PECOS PAC ID: 8628981834
Enrollment ID: O20040423001213 |
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| Entity Name | St Lukes Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184737231
PECOS PAC ID: 4486565645
Enrollment ID: O20040423001224 |
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| Entity Name | St Lukes Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1215942032
PECOS PAC ID: 4486565645
Enrollment ID: O20100929000438 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200303000565 |
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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. Cori Lynn 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 Address | Practice Location Address |
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Cori Lynn Randall, FNP-C
10710 Rose Dr,
Bismarck, ND 58503-9716
Ph: (701) 471-3111 | Cori Lynn Randall, FNP-C
612 Center Ave N,
Ashley, ND 58413-7013
Ph: (701) 288-3433 |
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