Seth Randall, CRNA in Fort Gordon, GA - Medicare Nurse Practitioner

Seth Randall, CRNA is a medicare enrolled "Nurse Practitioner" in Fort Gordon, Georgia. His current practice location is 300 W Hospital Rd, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at (865) 719-9633.

Seth Randall is licensed to practice in Tennessee (license number 171250) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801446497.

Contact Information

	Seth Randall, CRNA
	300 W Hospital Rd, Fort Gordon, GA 30905-5741
	(865) 719-9633
	Not Available

Map and Direction

Provider's Profile

Full Name	Seth Randall
Gender	Male
Speciality	Nurse Practitioner
Location	300 W Hospital Rd, Fort Gordon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801446497
Provider Enumeration Date: 09/16/2019
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 3678009966
Enrollment ID: I20241210002910

Medical Identifiers

Medical identifiers for Seth Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801446497	NPI	-	NPPES
171250	Other	TN	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	29868 (South Carolina)	Secondary
363L00000X	Nurse Practitioner	171250 (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. Seth Randall allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Consultants Of Augusta Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881877793 PECOS PAC ID: 6204905763 Enrollment ID: O20080523000204

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. Seth 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
Seth Randall, CRNA 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: () -	Seth Randall, CRNA 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (865) 719-9633

Reviews and Comments

Nurse Practitioner Nurses in Fort Gordon, GA

Dana Jenkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905 Phone: 706-787-5161
Tracy Lynn Mccranie, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5811
Mr. Christopher James Ryals, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5811
Mrs. Marla Layne Williams, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-1370 Fax: 706-787-8131
Mrs. Genver Thomas, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Road, Department Of Family And Community Medicine, Fort Gordon, GA 30905 Phone: 706-787-2634 Fax: 706-787-5127
Diana Ramirez, APRN - FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5161
Carrie C Deer, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Dr, Fort Gordon, GA 30905 Phone: 706-787-3143 Fax: 706-787-5620

Seth Randall, CRNA - Medicare Nurse Practitioner in Fort Gordon, GA