Zachary James Randolph, DPT - Medicare Physical Therapist in Amory, MS

Zachary James Randolph, DPT is a medicare enrolled "Physical Therapist" provider in Amory, Mississippi. His current practice location is 60368 Cotton Gin Port Rd, Amory, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 257-3669.

Zachary James Randolph is licensed to practice in Mississippi (license number PT6683) 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 1023663317.

Contact Information

Zachary James Randolph, DPT
60368 Cotton Gin Port Rd,
Amory, MS 38821
(662) 257-3669
(662) 257-3961

Map and Direction




Healthcare Provider's Profile

Full NameZachary James Randolph
GenderMale
SpecialityPhysical Therapist
Location60368 Cotton Gin Port Rd, Amory, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023663317
  • Provider Enumeration Date: 08/05/2019
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315275567
  • Enrollment ID: I20231026001187

Medical Identifiers

Medical identifiers for Zachary James Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023663317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT6683 (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. Zachary James Randolph allows following entities to bill medicare on his behalf.
Provider NameBreakthrough Physical Therapy
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1396522736
PECOS PAC ID: 3971959099
Enrollment ID: O20231026001241

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. Zachary James 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 AddressPractice Location Address
Zachary James Randolph, DPT
60368 Cotton Gin Port Rd,
Amory, MS 38821

Ph: (662) 257-3669
Zachary James Randolph, DPT
60368 Cotton Gin Port Rd,
Amory, MS 38821

Ph: (662) 257-3669

Reviews and Comments


Physical Therapist in Amory, MS

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Phone: 662-315-0084    Fax: 479-709-7717
Kacey Byrd Roberts, DPT
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Medicare: Accepting Medicare Assignments
Practice Location: 1112 Highway 278 E Ste A, Amory, MS 38821
Phone: 662-257-4048    Fax: 662-257-7080
Justin Lee Knight, DPT
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Phone: 662-257-4048    Fax: 662-257-4080
Alyson Rae Key, DPT
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Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821
Phone: 662-257-4048    Fax: 662-257-4080

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.