Dr Holly Randolph, OTD in Richmond, VA - Medicare Occupational Therapist In Private Practice Provider

Dr Holly Randolph, OTD is a medicare enrolled "Occupational Therapist" provider in Richmond, Virginia. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Fox Rehabilitation Services Of South Carolina, Llc and her current practice location is 721 Pepper Ave, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 477-4908.

Dr Holly Randolph is licensed to practice in Virginia (license number 0119005003) 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 1295354686.

Contact Information

	Dr Holly Randolph, OTD
	721 Pepper Ave, Richmond, VA 23226-2704
	(804) 477-4908
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Holly Randolph
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	9 Years
Location	721 Pepper Ave, Richmond, Virginia
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:

Dr Holly Randolph graduated from medical school in 2016

NPI Data:

NPI Number: 1295354686
Provider Enumeration Date: 04/15/2020
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3870983711
Enrollment ID: I20220705000109

Medical Identifiers

Medical identifiers for Dr Holly Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295354686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0119005003 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fox Rehabilitation Services Of South Carolina, Llc	3971639998	255

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. Dr Holly Randolph allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Of South Carolina, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294

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. Dr Holly 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
Dr Holly Randolph, OTD 721 Pepper Ave, Richmond, VA 23226-2704 Ph: (804) 477-4908	Dr Holly Randolph, OTD 721 Pepper Ave, Richmond, VA 23226-2704 Ph: (804) 477-4908

Reviews and Comments

Occupational Therapist in Richmond, VA

Tidewater Physical Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4831 S Laburnum Ave, Richmond, VA 23231 Phone: 804-222-0746 Fax: 804-222-0728
Mrs. Ashley Fariss Stewart, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4840 Waller Rd, Richmond, VA 23230 Phone: 804-893-5010
Mrs. Megan Elise Evelyn Breakall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Saunders Ave, Richmond, VA 23227 Phone: 804-358-1874
Mrs. Kimberly Jo Powell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5551
Mary Griessbach, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000
Mr. James Lyle Wilkerson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 N 24th St, Richmond, VA 23223 Phone: 804-874-4437
Eileen Catherine Shelp, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Wilkes Ridge Dr, Richmond, VA 23233 Phone: 804-877-4000

Dr Holly Randolph, OTD - Medicare Occupational Therapist in Richmond, VA