Alexandria Marie Randolph, OT in Madison, MS - Medicare Occupational Therapist Provider

Alexandria Marie Randolph, OT is a medicare enrolled "Occupational Therapist" provider in Madison, Mississippi. Her current practice location is 105 Lexington Dr Ste H, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 910-7300.

Alexandria Marie Randolph is licensed to practice in Mississippi (license number OT3515) 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 1932749710.

Contact Information

	Alexandria Marie Randolph, OT
	105 Lexington Dr Ste H, Madison, MS 39110-6646
	(601) 910-7300
	(601) 910-7071

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandria Marie Randolph
Gender	Female
Speciality	Occupational Therapist
Location	105 Lexington Dr Ste H, Madison, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932749710
Provider Enumeration Date: 01/09/2020
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8325423320
Enrollment ID: I20220912001767

Medical Identifiers

Medical identifiers for Alexandria Marie Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932749710	NPI	-	NPPES
OT3515	Other	MS	MISSISSIPI DEPARTMENT OF LICENSURE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT3515 (Mississippi)	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. Alexandria Marie Randolph allows following entities to bill medicare on her behalf.

Provider Name	Healing Hands Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346629920 PECOS PAC ID: 3072881267 Enrollment ID: O20170612001564

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. Alexandria Marie 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
Alexandria Marie Randolph, OT 100 Tracey Cv, Madison, MS 39110-6045 Ph: () -	Alexandria Marie Randolph, OT 105 Lexington Dr Ste H, Madison, MS 39110-6646 Ph: (601) 910-7300

Reviews and Comments

Occupational Therapist in Madison, MS

Jennifer Ros Craig, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd, Madison, MS 39110 Phone: 601-427-5775 Fax: 601-206-0668
Donna Saxton Harris, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Lexington Dr Ste H, Madison, MS 39110 Phone: 601-910-7300 Fax: 601-910-7071
Kelli Colley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd, Madison, MS 39110 Phone: 601-427-5775
Morgan Lindsey Burnett, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd, Suite 2, Madison, MS 39110 Phone: 601-427-5775
Mrs. Feshondra Fereca Mone Tripp, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 105 Lexington Dr Ste H, Madison, MS 39110 Phone: 601-910-7300 Fax: 601-910-7071
Megan P Ladner, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd Ste B, Madison, MS 39110 Phone: 601-427-5775 Fax: 601-206-0668
Meri Claire Soldevila, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 August Bnd, Madison, MS 39110 Phone: 662-902-6158

Alexandria Marie Randolph, OT - Medicare Occupational Therapist in Madison, MS