| Ms Kate Joanna Randolph, PA | |
|
751 Sappington Bridge Rd, Dept Radiology, Sullivan, MO 63080-2354 | |
| (314) 996-5170 | |
| (314) 653-5832 |
| Full Name | Ms Kate Joanna Randolph |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 751 Sappington Bridge Rd, Sullivan, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033939749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2025000294 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University | 9830008770 | 3047 |
| Mailing Address | Practice 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 |
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 |