Dr Brittney Otruba Randolph, PHD is a medicare enrolled "Psychologist - Clinical" provider in Trussville, Alabama. Her current practice location is
123 Post Oak Dr, Trussville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(516) 220-8122.
Dr Brittney Otruba Randolph is licensed to practice in Alabama (license number 2160) 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 1942674213.
Healthcare Provider's Profile
| Full Name | Dr Brittney Otruba Randolph |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 123 Post Oak Dr, Trussville, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942674213
- Provider Enumeration Date: 11/23/2015
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527486760
- Enrollment ID: I20200921000244
Medical Identifiers
Medical identifiers for Dr Brittney Otruba Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942674213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 2160 (Alabama) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2160 (Alabama) | 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. Dr Brittney Otruba Randolph allows following entities to bill medicare on her behalf.
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 Brittney Otruba 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 Brittney Otruba Randolph, PHD
Po Box 283,
Trussville, AL 35173-0283
Ph: (516) 993-8906 | Dr Brittney Otruba Randolph, PHD
123 Post Oak Dr,
Trussville, AL 35173-1557
Ph: (516) 220-8122 |
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