Kimberly M Randolph, APN in Germantown, TN - Medicare Nurse Practitioner

Kimberly M Randolph, APN is a medicare enrolled "Nurse Practitioner" in Germantown, Tennessee. Her current practice location is 3180 Professional Plz, Ste 111, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 854-5455.

Kimberly M Randolph is licensed to practice in Tennessee (license number 7234) 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 1144544982.

Contact Information

	Kimberly M Randolph, APN
	3180 Professional Plz, Ste 111, Germantown, TN 38138-1534
	(901) 854-5455
	(901) 861-7736

Map and Direction

Provider's Profile

Full Name	Kimberly M Randolph
Gender	Female
Speciality	Nurse Practitioner
Location	3180 Professional Plz, Germantown, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144544982
Provider Enumeration Date: 03/23/2010
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8820128028
Enrollment ID: I20100615000470

Medical Identifiers

Medical identifiers for Kimberly M Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144544982	NPI	-	NPPES
1518380	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	7234 (Tennessee)	Primary

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. Kimberly M Randolph allows following entities to bill medicare on her behalf.

Entity Name	Collierville Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326229345 PECOS PAC ID: 6305265307 Enrollment ID: O20200924001176

Entity Name	Midsouth Independent Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861009326 PECOS PAC ID: 2668886722 Enrollment ID: O20210201001564

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. Kimberly M 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
Kimberly M Randolph, APN 3180 Professional Plz, Ste 111, Germantown, TN 38138-1534 Ph: (901) 854-5455	Kimberly M Randolph, APN 3180 Professional Plz, Ste 111, Germantown, TN 38138-1534 Ph: (901) 854-5455

Reviews and Comments

Nurse Practitioner Nurses in Germantown, TN

Lisa D Beasley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-414-0017
Dakota Doss, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7465 Poplar Ave Ste 102, Germantown, TN 38138 Phone: 901-853-6428 Fax: 901-853-6554
Brenda S Cole, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-260-1713
Mrs. Mary K Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138 Phone: 901-328-6031 Fax: 901-328-6035
Cynthia Denise Bedford, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-1290 Fax: 901-516-1220
Ashley Marsh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-756-0196
Joshua Choate, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1240 S Germantown Rd, Germantown, TN 38138 Phone: 901-275-3300

Kimberly M Randolph, APN - Medicare Nurse Practitioner in Germantown, TN