Mrs Glynnis D Randall, FNP in Wiggins, MS - Medicare Nurse Practitioner

Mrs Glynnis D Randall, FNP is a medicare enrolled "Nurse Practitioner" in Wiggins, Mississippi. She graduated from nursing school in 1995 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital At Gulfport and her current practice location is 975 Hall St, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 528-9119.

Mrs Glynnis D Randall is licensed to practice in Mississippi (license number R764278) 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 1346355583.

Contact Information

	Mrs Glynnis D Randall, FNP
	975 Hall St, Wiggins, MS 39577-2107
	(601) 528-9119
	(601) 528-9193

Map and Direction

Provider's Profile

Full Name	Mrs Glynnis D Randall
Gender	Female
Speciality	Nurse Practitioner
Experience	30 Years
Location	975 Hall St, Wiggins, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Glynnis D Randall graduated from nursing school in 1995

NPI Data:

NPI Number: 1346355583
Provider Enumeration Date: 08/20/2006
Last Update Date: 11/22/2016

Medicare PECOS Information:

PECOS PAC ID: 4183605967
Enrollment ID: I20040527000304

Medical Identifiers

Medical identifiers for Mrs Glynnis D Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346355583	NPI	-	NPPES
0116288	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R764278 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital At Gulfport	2466524012	416

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. Mrs Glynnis D Randall allows following entities to bill medicare on her behalf.

Entity Name	Wiggins Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740293257 PECOS PAC ID: 5890737019 Enrollment ID: O20050527000428

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. Mrs Glynnis D Randall 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
Mrs Glynnis D Randall, FNP Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 947-1332	Mrs Glynnis D Randall, FNP 975 Hall St, Wiggins, MS 39577-2107 Ph: (601) 528-9119

Reviews and Comments

Nurse Practitioner Nurses in Wiggins, MS

James Jason Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600
Hannah Leigh Fore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6653
Charles Ray Strange Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Frontage Dr W, Wiggins, MS 39577 Phone: 601-716-8012 Fax: 601-716-8013
Dr. William Bryan Gibboney, DNP, FNP-C, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 228-436-1191
Ms. Rebecca Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731
Lycel Parmosa Nall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 S Mcgregor Rd, Wiggins, MS 39577 Phone: 601-716-5189

Mrs Glynnis D Randall, FNP - Medicare Nurse Practitioner in Wiggins, MS