Randi Rasberry, PA-C in Nesconset, NY - Medicare Physician Assistant

Randi Rasberry, PA-C is a medicare enrolled "Physician Assistant" in Nesconset, New York. Her current practice location is 100 Southern Blvd, Nesconset, New York. You can reach out to her office (for appointments etc.) via phone at (872) 231-3162.

Randi Rasberry is licensed to practice in New York (license number 1126818) 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 1215313903.

Contact Information

	Randi Rasberry, PA-C
	100 Southern Blvd, Nesconset, NY 11767-1797
	(872) 231-3162
	(702) 977-1496

Map and Direction

Provider's Profile

Full Name	Randi Rasberry
Gender	Female
Speciality	Physician Assistant
Location	100 Southern Blvd, Nesconset, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215313903
Provider Enumeration Date: 08/04/2015
Last Update Date: 11/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4082922026
Enrollment ID: I20240321002876

Medical Identifiers

Medical identifiers for Randi Rasberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215313903	NPI	-	NPPES
07705168	Medicaid	NY
2400495	Medicaid	LA
03855858	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.200846 (Louisiana)	Secondary
363AS0400X	Physician Assistant - Surgical	PA.200846 (Louisiana)	Secondary
363A00000X	Physician Assistant	1126818 (New York)	Primary

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. Randi Rasberry 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
Randi Rasberry, PA-C Po Box 22239, New York, NY 10087-0001 Ph: (702) 899-0595	Randi Rasberry, PA-C 100 Southern Blvd, Nesconset, NY 11767-1797 Ph: (872) 231-3162

Reviews and Comments

Physician Assistant Nurses in Nesconset, NY

Paige Suzanne Karras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Raynier Pl, Nesconset, NY 11767 Phone: 631-624-0486
Miss Cindy A Callahan, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 276 Smithtown Blvd, Suite 1, Nesconset, NY 11767 Phone: 631-981-9143
Rhonda R Edwards-braithwaite, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 465 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-676-6700 Fax: 631-676-6700
Mr. Russell John Ridulfo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Maple Glen Ln, Nesconset, NY 11767 Phone: 631-942-0295
Neha Chowdhury, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-418-8069
Faiza R Shah, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7 Sara Ct, Nesconset, NY 11767 Phone: 631-357-0663

Randi Rasberry, PA-C - Medicare Physician Assistant in Nesconset, NY