Mr Randall L Cassidy, CNP in Elyria, OH - Medicare Nurse Practitioner

Mr Randall L Cassidy, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Elyria, Ohio. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Primary Care Practices Inc and his current practice location is 1120 E Broad St, Elyria, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 365-2239.

Mr Randall L Cassidy is licensed to practice in Ohio (license number 258009) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629229539.

Contact Information

	Mr Randall L Cassidy, CNP
	1120 E Broad St, Elyria, OH 44035-6306
	(440) 365-2239
	(440) 365-1366

Map and Direction

Provider's Profile

Full Name	Mr Randall L Cassidy
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	1120 E Broad St, Elyria, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Randall L Cassidy graduated from nursing school in 2008

NPI Data:

NPI Number: 1629229539
Provider Enumeration Date: 10/09/2008
Last Update Date: 11/04/2014

Medicare PECOS Information:

PECOS PAC ID: 5799841995
Enrollment ID: I20090312000281

Medical Identifiers

Medical identifiers for Mr Randall L Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629229539	NPI	-	NPPES
0236248	Medicaid	OH
11937343	Other	OH	CAQH
2914234	Medicaid	OH
3025372	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	258009 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals - Elyria Medical Center	Elyria, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Primary Care Practices Inc	3072417534	972

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. Mr Randall L Cassidy allows following entities to bill medicare on his behalf.

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

Entity Name	Emh Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841299039 PECOS PAC ID: 7517931389 Enrollment ID: O20040826000069

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. Mr Randall L Cassidy 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
Mr Randall L Cassidy, CNP Po Box 636643, Cincinnati, OH 45263-6643 Ph: (440) 366-2239	Mr Randall L Cassidy, CNP 1120 E Broad St, Elyria, OH 44035-6306 Ph: (440) 365-2239

Reviews and Comments

Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Ms. Amy M. King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454
Jennifer Gelske, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0400 Fax: 440-324-0441

Mr Randall L Cassidy, CNP - Medicare Nurse Practitioner in Elyria, OH