Ms Kate Joanna Randolph, PA - Medicare Physician Assistant in Sullivan, MO

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Ms Kate Joanna Randolph, PA is a medicare enrolled "Physician Assistant - Medical" in Sullivan, Missouri. Her current practice location is 751 Sappington Bridge Rd, Dept Radiology, Sullivan, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 996-5170.

Ms Kate Joanna Randolph is licensed to practice in Missouri (license number 2025000294) 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 1033939749.

Contact Information

Ms Kate Joanna Randolph, PA
751 Sappington Bridge Rd, Dept Radiology,
Sullivan, MO 63080-2354
(314) 996-5170
(314) 653-5832

Map and Direction




Provider's Profile

Full NameMs Kate Joanna Randolph
GenderFemale
SpecialityPhysician Assistant - Medical
Location751 Sappington Bridge Rd, Sullivan, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033939749
  • Provider Enumeration Date: 10/16/2024
  • Last Update Date: 11/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4789104019
  • Enrollment ID: I20250218000297

Medical Identifiers

Medical identifiers for Ms Kate Joanna Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033939749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2025000294 (Missouri)Primary

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. Ms Kate Joanna 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
Ms Kate Joanna Randolph, PA
Po Box 7412011,
Chicago, IL 60674-2011

Ph: (314) 996-5170		Ms Kate Joanna Randolph, PA
751 Sappington Bridge Rd, Dept Radiology,
Sullivan, MO 63080-2354

Ph: (314) 996-5170

Reviews and Comments


Physician Assistant Nurses in Sullivan, MO

Mr. Joshua Michael Maurer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 965 Mattox Dr, Sullivan, MO 63080
Phone: 573-860-6000    
Mrs. Amanda Marie Czarnecki, PA-C, MMS
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 751 Sappington Bridge Rd, Sullivan, MO 63080
Phone: 573-468-1120    

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.