Takira Randolph, APRN is a medicare enrolled "Nurse Practitioner - Family" in Panacea, Florida. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Florida Medical Centers Inc and her current practice location is
1328 Coastal Hwy, Panacea, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 984-4735.
Takira Randolph is licensed to practice in Florida (license number APRN11000261) 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 1316419369.
Provider's Profile
| Full Name | Takira Randolph |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1328 Coastal Hwy, Panacea, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Takira Randolph graduated from nursing school in 2018
NPI Data:
- NPI Number: 1316419369
- Provider Enumeration Date: 12/31/2018
- Last Update Date: 04/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628594611
- Enrollment ID: I20250502001584
Medical Identifiers
Medical identifiers for Takira Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316419369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN11000261 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Florida Medical Centers Inc | 6103737697 | 18 |
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. Takira Randolph allows following entities to bill medicare on her behalf.
| Entity Name | North Florida Medical Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255526638
PECOS PAC ID: 6103737697
Enrollment ID: O20040102000848 |
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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. Takira 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 |
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Takira Randolph, APRN
2804 Remington Green Cir Ste 2,
Tallahassee, FL 32308-1550
Ph: (850) 385-4494 | Takira Randolph, APRN
1328 Coastal Hwy,
Panacea, FL 32346-2151
Ph: (850) 984-4735 |
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