Mrs Sandra Mcknight Randolph, NURSE PRACTITIONER in Columbia, SC

Mrs Sandra Mcknight Randolph, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. 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 Three Rivers Behavioral Health Llc and her current practice location is 4100 N Main St Ste 201, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 814-2112.

Mrs Sandra Mcknight Randolph is licensed to practice in South Carolina (license number APN840) 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 1164547071.

Contact Information

	Mrs Sandra Mcknight Randolph, NURSE PRACTITIONER
	4100 N Main St Ste 201, Columbia, SC 29203-5800
	(803) 814-2112
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sandra Mcknight Randolph
Gender	Female
Speciality	Nurse Practitioner
Experience	30 Years
Location	4100 N Main St Ste 201, Columbia, South Carolina
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 Sandra Mcknight Randolph graduated from nursing school in 1995

NPI Data:

NPI Number: 1164547071
Provider Enumeration Date: 03/20/2007
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 5799926580
Enrollment ID: I20130719000565

Medical Identifiers

Medical identifiers for Mrs Sandra Mcknight Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164547071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN840 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Three Rivers Behavioral Health Llc	3072699891	10

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 Sandra Mcknight Randolph allows following entities to bill medicare on her behalf.

Entity Name	Three Rivers Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841586187 PECOS PAC ID: 3072699891 Enrollment ID: O20110712000193

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 Sandra Mcknight 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
Mrs Sandra Mcknight Randolph, NURSE PRACTITIONER 144 Tannock Ct, Lexington, SC 29072-7967 Ph: (803) 996-0614	Mrs Sandra Mcknight Randolph, NURSE PRACTITIONER 4100 N Main St Ste 201, Columbia, SC 29203-5800 Ph: (803) 814-2112

Reviews and Comments

Nurse Practitioner Nurses in Columbia, SC

Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120
Latonya Brailsford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-7910

Mrs Sandra Mcknight Randolph, NURSE PRACTITIONER - Medicare Nurse Practitioner in Columbia, SC