Dr Joseph Justis Randolph, MD - Medicare Emergency Medicine in St Cloud, MN

Dr Joseph Justis Randolph, MD is a medicare enrolled "Emergency Medicine" physician in St Cloud, Minnesota. He went to Medical College Of Wisconsin and graduated in 1997 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Douglas County Hospital and his current practice location is 1406 6th Ave N, St Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 255-5657.

Dr Joseph Justis Randolph is licensed to practice in Minnesota (license number 42563) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164497830.

Contact Information

Dr Joseph Justis Randolph, MD
1406 6th Ave N,
St Cloud, MN 56303-1901
(320) 255-5657
(320) 656-7194



Physician's Profile

Full NameDr Joseph Justis Randolph
GenderMale
SpecialityEmergency Medicine
Experience27 Years
Location1406 6th Ave N, St Cloud, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Joseph Justis Randolph attended and graduated from Medical College Of Wisconsin in 1997
  NPI Data:
  • NPI Number: 1164497830
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 02/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5991991424
  • Enrollment ID: I20101123001095

Medical Identifiers

Medical identifiers for Dr Joseph Justis Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164497830NPI-NPPES
1164497830MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 42563 (Minnesota)Primary
207P00000XEmergency Medicine MD60181938 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cuyuna Regional Medical CenterCrosby, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Douglas County Hospital0648171413101

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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 Joseph Justis Randolph allows following entities to bill medicare on his behalf.
Entity NameUnity Family Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326234006
PECOS PAC ID: 9830003516
Enrollment ID: O20031117000732

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Entity NameDouglas County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164424305
PECOS PAC ID: 0648171413
Enrollment ID: O20040115000387

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Entity NameCuyuna Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861414518
PECOS PAC ID: 9537146550
Enrollment ID: O20040707000501

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Entity NameUnity Family Healthcare
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1780630939
PECOS PAC ID: 9830003516
Enrollment ID: O20061104000248

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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 Joseph Justis 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
Dr Joseph Justis Randolph, MD
1406 6th Ave N,
Saint Cloud, MN 56303-1900

Ph: (320) 255-5657
Dr Joseph Justis Randolph, MD
1406 6th Ave N,
St Cloud, MN 56303-1901

Ph: (320) 255-5657

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› Verified 6 days ago


Emergency Medicine Doctors in St Cloud, MN

Daniel Lloyd Fark, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 6th Ave N, St Cloud, MN 56303
Phone: 320-255-5657    Fax: 320-656-7194
Peter L Charvat, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 6th Ave N, St Cloud Hospital, St Cloud, MN 56303
Phone: 320-255-5656    
Anthony P Haas, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave N, St Cloud Hospital, St Cloud, MN 56303
Phone: 320-255-5657    
Mr. John E Mertz, MD PHD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 6 Ave N, St Cloud, MN 56301
Phone: 320-255-5657    Fax: 320-656-7194
Michael James Severson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1406 Sixth Ave N, St Cloud, MN 56301
Phone: 320-255-5656    Fax: 320-656-7194
Brett Thomas Stolzenberg, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave No, St Cloud, MN 56303
Phone: 320-255-5657    Fax: 320-656-7194

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