Kathryn Kimberly Randall, MD - Medicare Obstetrics & Gynecology in Deming, NM

Kathryn Kimberly Randall, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Deming, New Mexico. Her current practice location is 905 S. 8th St., Deming, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 543-7200.

Kathryn Kimberly Randall is licensed to practice in New Mexico (license number MD2013-0007) 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 1184636672.

Contact Information

Kathryn Kimberly Randall, MD
905 S. 8th St.,
Deming, NM 88030
(575) 543-7200
(575) 543-7253



Physician's Profile

Full NameKathryn Kimberly Randall
GenderFemale
SpecialityObstetrics & Gynecology
Location905 S. 8th St., Deming, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184636672
  • Provider Enumeration Date: 08/12/2006
  • Last Update Date: 08/15/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3577563725
  • Enrollment ID: I20130606000327

Medical Identifiers

Medical identifiers for Kathryn Kimberly Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184636672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 7343A (Wyoming)Secondary
207V00000XObstetrics & Gynecology MD2013-0007 (New Mexico)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. Kathryn Kimberly Randall allows following entities to bill medicare on her behalf.
Entity NameDeming Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134526221
PECOS PAC ID: 4981599206
Enrollment ID: O20040217000196

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Entity NameDeming Clinic Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205835808
PECOS PAC ID: 8325001548
Enrollment ID: O20041109000612

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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. Kathryn Kimberly Randall 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
Kathryn Kimberly Randall, MD
905 S. 8th St.,
Deming, NM 88030

Ph: (575) 543-7200
Kathryn Kimberly Randall, MD
905 S. 8th St.,
Deming, NM 88030

Ph: (575) 543-7200

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Obstetrics & Gynecology Doctors in Deming, NM

Jaime Solis, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1413 Columbus Rd, Deming, NM 88030
Phone: 575-546-6548    
Dr. Mark David Siletchnik, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1413 Columbus Rd, Deming, NM 88030
Phone: 575-546-6548    Fax: 575-546-6540

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