Jessica Charis Randolph, NP is a medicare enrolled "Nurse Practitioner - Family" in Lakin, Kansas. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kearny County Hospital and her current practice location is
500 E Thorpe St, Lakin, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 355-7111.
Jessica Charis Randolph is licensed to practice in Kansas (license number 53-83783-011) 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 1548085038.
Provider's Profile
| Full Name | Jessica Charis Randolph |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 500 E Thorpe St, Lakin, Kansas |
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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:
- Jessica Charis Randolph graduated from nursing school in 2024
NPI Data:
- NPI Number: 1548085038
- Provider Enumeration Date: 11/19/2024
- Last Update Date: 12/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608302567
- Enrollment ID: I20241216002272
Medical Identifiers
Medical identifiers for Jessica Charis Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548085038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 206118 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-83783-011 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kearny County Hospital | 0244148864 | 15 |
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. Jessica Charis Randolph allows following entities to bill medicare on her behalf.
| Entity Name | Kearny County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447221569
PECOS PAC ID: 0244148864
Enrollment ID: O20040419000655 |
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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. Jessica Charis 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 |
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Jessica Charis Randolph, NP
805 S Bouziden Dr,
Moore, OK 73160-7324
Ph: (620) 952-1546 | Jessica Charis Randolph, NP
500 E Thorpe St,
Lakin, KS 67860-9625
Ph: (620) 355-7111 |
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