Dr Alice H Randolph, EDD MSCP in Port Clinton, OH - Medicare Clinical Psychologist Provider

Dr Alice H Randolph, EDD MSCP is a medicare enrolled "Psychologist - Clinical" provider in Port Clinton, Ohio. She graduated from medical school in 1974 and has 51 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Psychological Transitions, Inc and her current practice location is 3872 E Harbor Light Landing Dr, Port Clinton, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 215-8000.

Dr Alice H Randolph is licensed to practice in Ohio (license number 2974) 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 1497865885.

Contact Information

	Dr Alice H Randolph, EDD MSCP
	3872 E Harbor Light Landing Dr, Port Clinton, OH 43452-3877
	(216) 215-8000
	(877) 734-2032

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alice H Randolph
Gender	Female
Speciality	Clinical Psychologist
Experience	51 Years
Location	3872 E Harbor Light Landing Dr, Port Clinton, Ohio
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 Alice H Randolph graduated from medical school in 1974

NPI Data:

NPI Number: 1497865885
Provider Enumeration Date: 08/30/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4082510490
Enrollment ID: I20120210000485

Medical Identifiers

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

Identifier	Type	State	Issuer
1497865885	NPI	-	NPPES
000000137850	Other	OH	ANTHEM
0473590	Medicaid	OH
294762000	Other	OH	MAGELLAN
P00127008	Other	OH	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2974 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychological Transitions, Inc	6305748187	3

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 Alice H Randolph allows following entities to bill medicare on her behalf.

Entity Name	Psychological Transitions, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902914278 PECOS PAC ID: 6305748187 Enrollment ID: O20040122000682

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 Alice H 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 Alice H Randolph, EDD MSCP 205 Se Catawba Rd, Suite A, Port Clinton, OH 43452-2666 Ph: (216) 215-8000	Dr Alice H Randolph, EDD MSCP 3872 E Harbor Light Landing Dr, Port Clinton, OH 43452-3877 Ph: (216) 215-8000

Reviews and Comments

Psychologist in Port Clinton, OH

Thomas P Kunkle, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 335 Buckeye Blvd, Port Clinton, OH 43452 Phone: 419-734-2942
Ashley Knight, M.ED., ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 821 Jefferson St, Port Clinton, OH 43452 Phone: 419-734-2147
Peter B Casgrain, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3872 E Harbor Light Landing Dr, Port Clinton, OH 43452 Phone: 419-734-3333 Fax: 419-734-3335
Debra L Derbyshire, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Se Catawba Rd, Suite A, Port Clinton, OH 43452 Phone: 419-734-3333 Fax: 419-734-3335
Mrs. Lisa Maletich, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 821 Jefferson St, Port Clinton, OH 43452 Phone: 419-734-2147 Fax: 419-732-0892

Dr Alice H Randolph, EDD MSCP - Medicare Psychologist in Port Clinton, OH