Dr Blake William Randles, DC - Medicare Nurse Practitioner in Carlinville, IL

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Dr Blake William Randles, DC is a medicare enrolled "Nurse Practitioner - Gerontology" in Carlinville, Illinois. His current practice location is 20733 N Broad St, Carlinville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 854-3141.

Dr Blake William Randles is licensed to practice in Illinois (license number 209031892) 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 1679886675.

Contact Information

Dr Blake William Randles, DC
20733 N Broad St,
Carlinville, IL 62626-3710
(217) 854-3141
Not Available

Map and Direction




Provider's Profile

Full NameDr Blake William Randles
GenderMale
SpecialityNurse Practitioner - Gerontology
Location20733 N Broad St, Carlinville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679886675
  • Provider Enumeration Date: 07/19/2010
  • Last Update Date: 04/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3971974718
  • Enrollment ID: I20230113002014

Medical Identifiers

Medical identifiers for Dr Blake William Randles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679886675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 209031892 (Illinois)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. Dr Blake William Randles allows following entities to bill medicare on his behalf.
Entity NameAlvarado Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326553835
PECOS PAC ID: 0749549772
Enrollment ID: O20180118002613
Entity NameLebanon Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427892090
PECOS PAC ID: 3476094665
Enrollment ID: O20240916000199

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. Dr Blake William Randles 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
Dr Blake William Randles, DC
1210 Washington St,
Highland, IL 62249-1925

Ph: (186) 544-5206		Dr Blake William Randles, DC
20733 N Broad St,
Carlinville, IL 62626-3710

Ph: (217) 854-3141

Reviews and Comments


Nurse Practitioner Nurses in Carlinville, IL

Mrs. Shona Jo Quick, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20733 N Broad St, Carlinville, IL 62626
Phone: 217-854-3141    
Ms. Ann Louise Zahniser, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1115 Morgan St, #2, Carlinville, IL 62626
Phone: 217-854-3881    
Anne Greenwalt, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 320 S Locust St, Carlinville, IL 62626
Phone: 217-854-3166    Fax: 217-854-3778
Mary Elizabeth Devries, APRN, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 604 N Broad St, Carlinville, IL 62626
Phone: 217-854-9411    Fax: 217-854-2858
Rebbecca Camerer, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 20733 N Broad St, Carlinville, IL 62626
Phone: 217-854-3141    
Jamie Yvonne Welty, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20613 N Broad St, Carlinville, IL 62626
Phone: 217-854-3881    

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.