Jessica Randolph, LPC, PA - Medicare Physician Assistant in Tahlequah, OK

Jessica Randolph, LPC, PA is a medicare enrolled "Physician Assistant - Medical" in Tahlequah, Oklahoma. She graduated from nursing school in 2020 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cherokee Nation and her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3100.

Jessica Randolph is licensed to practice in Oklahoma (license number 3205) 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 1174842215.

Contact Information

Jessica Randolph, LPC, PA
100 S Bliss Ave,
Tahlequah, OK 74464-2512
(918) 458-3100
Not Available

Map and Direction




Provider's Profile

Full NameJessica Randolph
GenderFemale
SpecialityPhysician Assistant
Experience1 Years
Location100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Randolph graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1174842215
  • Provider Enumeration Date: 05/28/2010
  • Last Update Date: 07/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224459714
  • Enrollment ID: I20200609003134

Medical Identifiers

Medical identifiers for Jessica Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174842215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 3205 (Oklahoma)Primary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary

Hospital Affiliation

Hospital NameLocationType
Cherokee Nation W W Hastings Indian HospitalTahlequah, OKAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cherokee Nation5799698742294

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 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 AddressPractice Location Address
Jessica Randolph, LPC, PA
100 S Bliss Ave,
Tahlequah, OK 74464-2512

Ph: (918) 458-3100
Jessica Randolph, LPC, PA
100 S Bliss Ave,
Tahlequah, OK 74464-2512

Ph: (918) 458-3100

Reviews and Comments


Physician Assistant Nurses in Tahlequah, OK

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Phone: 918-458-3100    Fax: 918-458-3595
Ms. Andrea D Mitchell, PA C
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Sean M Scearce, PA
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Medicare: Accepting Medicare Assignments
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Phone: 918-453-1234    Fax: 918-453-9107
Janet Leslie Plaxico, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 1201 E. Ross Bypass Road, Tahlequah, OK 74464
Phone: 918-207-0991    Fax: 918-456-7570

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.