Isabella Randolph, in Hurst, TX - Medicare Nurse Practitioner

Isabella Randolph, is a medicare enrolled "Nurse Practitioner - Family" in Hurst, Texas. Her current practice location is 606 Grapevine Hwy Ste B, Hurst, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 477-3087.

Isabella Randolph is licensed to practice in Texas (license number 1137569) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740069798.

Contact Information

	Isabella Randolph,
	606 Grapevine Hwy Ste B, Hurst, TX 76054-2747
	(682) 477-3087
	Not Available

Map and Direction

Provider's Profile

Full Name	Isabella Randolph
Gender	Female
Speciality	Nurse Practitioner - Family
Location	606 Grapevine Hwy Ste B, Hurst, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740069798
Provider Enumeration Date: 09/27/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2062865322
Enrollment ID: I20240202001052

Medical Identifiers

Medical identifiers for Isabella Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740069798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1137569 (Texas)	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. Isabella Randolph allows following entities to bill medicare on her behalf.

Entity Name	Citra Physician Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750016333 PECOS PAC ID: 3476938671 Enrollment ID: O20220923000114

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. Isabella 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 Address	Practice Location Address
Isabella Randolph, 606 Grapevine Hwy Ste B, Hurst, TX 76054-2747 Ph: () -	Isabella Randolph, 606 Grapevine Hwy Ste B, Hurst, TX 76054-2747 Ph: (682) 477-3087

Reviews and Comments

Nurse Practitioner Nurses in Hurst, TX

Jennifer J Ayala, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Brookside Dr, Hurst, TX 76053 Phone: 817-268-2643
Alexandra Craker Schoolfield, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 669 Airport Fwy Ste 309, Hurst, TX 76053 Phone: 817-222-9907
Jennifer L Roye, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2504 Fax: 817-605-2505
Stacie N Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 860 Airport Fwy Ste 525, Hurst, TX 76054 Phone: 817-522-1530
Lori M Payne, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Martin Rd, Hurst, TX 76054 Phone: 817-514-0346 Fax: 817-514-0885
Quinta-rita Tita, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1236 Sothridge Ct, Hurst, TX 75053 Phone: 817-406-1500
Diana O Luebbert, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Martin Rd, Hurst, TX 76054 Phone: 817-514-0346 Fax: 817-514-0885

Isabella Randolph, - Medicare Nurse Practitioner in Hurst, TX