Jeremiah Scott Randall, PMHNP-BC in Mora, MN - Medicare Nurse Practitioner

Jeremiah Scott Randall, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mora, Minnesota. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Serenity Behavioral Health And Wellness, Llc and his current practice location is 841 Forest Ave E Ste 210, Mora, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 244-2451.

Jeremiah Scott Randall is licensed to practice in Minnesota (license number 8527) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407447246.

Contact Information

	Jeremiah Scott Randall, PMHNP-BC
	841 Forest Ave E Ste 210, Mora, MN 55051-5501
	(320) 244-2451
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremiah Scott Randall
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	841 Forest Ave E Ste 210, Mora, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremiah Scott Randall graduated from nursing school in 2021

NPI Data:

NPI Number: 1407447246
Provider Enumeration Date: 02/02/2021
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 3678963691
Enrollment ID: I20211207001035

Medical Identifiers

Medical identifiers for Jeremiah Scott Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407447246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	8527 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Serenity Behavioral Health And Wellness, Llc	7810308517	11

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. Jeremiah Scott Randall allows following entities to bill medicare on his behalf.

Entity Name	Serenity Behavioral Health & Wellness, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750999546 PECOS PAC ID: 7810308517 Enrollment ID: O20201202000942

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. Jeremiah Scott 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
Jeremiah Scott Randall, PMHNP-BC Po Box 202, Ogilvie, MN 56358-0202 Ph: (320) 223-0467	Jeremiah Scott Randall, PMHNP-BC 841 Forest Ave E Ste 210, Mora, MN 55051-5501 Ph: (320) 244-2451

Reviews and Comments

Nurse Practitioner Nurses in Mora, MN

Karen K Rasmusson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 331 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313 Fax: 320-225-3141
Lindsey Deborah Fielder, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212
Mrs. Tanya Lynn Carlson, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212
Barbara Lou Ennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 331 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313 Fax: 320-225-3141
Jill Herges, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212
Rachel Ann Dahlquist, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1212

Jeremiah Scott Randall, PMHNP-BC - Medicare Nurse Practitioner in Mora, MN