Kerry Randolph, MD in Springfield, MO - Internal Medicine

Kerry Randolph, MD is a Internal Medicine physician based in Springfield, Missouri. Kerry Randolph is licensed to practice in Missouri (license number R9C05) and his current practice location is 3525 S National Ave, Ste 101, Springfield, Missouri. He can be reached at his office (for appointments etc.) via phone at (417) 269-5711.

NPI number for Kerry Randolph is 1063531390 and his current mailing address is Po Box 4046, Springfield, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063531390.

Contact Information

	Kerry Randolph, MD
	3525 S National Ave, Ste 101, Springfield, MO 65807-7310
	(417) 269-5711
	Not Available

Physician's Profile

Full Name	Kerry Randolph
Gender	Male
Speciality	Internal Medicine
Location	3525 S National Ave, Springfield, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1063531390
Provider Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kerry Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063531390	NPI	-	NPPES
27694	Other		ANTHEM BLUECROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R9C05 (Missouri)	Primary

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. Kerry Randolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kerry Randolph, MD Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-6262	Kerry Randolph, MD 3525 S National Ave, Ste 101, Springfield, MO 65807-7310 Ph: (417) 269-5711

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Internal Medicine Doctors in Springfield, MO

Dr. Mark H. Grimm, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711
Dr. Sridevi Durga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295
Bradley D Wiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051
Walter S. Trombold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778
Dr. Timi A Akins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4814 S Montrose Pl, Springfield, MO 65810 Phone: 202-779-1247
Ghulam Jeelani Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220
Danny R Penick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000

Kerry Randolph, MD - Internal Medicine in Springfield, MO