Randolph Community Clinic Sc - Medicare Primary Care in Randolph, WI

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Randolph Community Clinic Sc is a medicare enrolled primary clinic (Family Medicine) in Randolph, Wisconsin. The current practice location for Randolph Community Clinic Sc is 504 S High Street, Randolph, Wisconsin. For appointments, you can reach them via phone at (920) 326-5060. The mailing address for Randolph Community Clinic Sc is 504 S High St, Po Box 101, Randolph, Wisconsin and phone number is (920) 326-5060.

Randolph Community Clinic Sc is licensed to practice in Wisconsin (license number 36988020). The clinic also participates in the medicare program and its NPI number is 1497832257. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 326-5060.

Contact Information

Randolph Community Clinic Sc
504 S High Street
Randolph
WI 53956
(920) 326-5060
(920) 326-5061

Map and Direction


Primary Care Clinic Profile

Full NameRandolph Community Clinic Sc
SpecialityFamily Medicine
Location504 S High Street, Randolph, Wisconsin
Authorized Official Name and PositionMelissa Elaine Lucarelli (PRESIDENT)
Authorized Official Contact9203265060
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randolph Community Clinic Sc
504 S High St
Po Box 101
Randolph
WI 53956-1499

Ph: (920) 326-5060		Randolph Community Clinic Sc
504 S High Street
Randolph
WI 53956

Ph: (920) 326-5060

NPI Details:

NPI Number1497832257
Provider Enumeration Date11/01/2006
Last Update Date04/20/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1456247311
Medicare Enrollment IDO20101021000632

Medical Identifiers

Medical identifiers for Randolph Community Clinic Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497832257NPI-NPPES
32327000MedicaidWI
N96OtherDEAN HEALTH PLAN
CH8761OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 36988020 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Randolph Community Clinic Sc acts as a billing entity for following providers:
Provider NameTeresa J Wiersma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417931833
PECOS PAC ID: 7618925546
Enrollment ID: I20050107000400
Provider NameMelissa Elaine Lucarelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336102169
PECOS PAC ID: 1254227119
Enrollment ID: I20101021000682

Reviews and Comments


Family Medicine in Randolph, WI


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.