Mr Vincenzo Randazzo, PA in Lone Tree, CO - Medicare Physician Assistant

Mr Vincenzo Randazzo, PA is a medicare enrolled "Physician Assistant - Medical" physician in Lone Tree, Colorado. His current practice location is 10240 Park Meadows Dr, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 338-4545.

Mr Vincenzo Randazzo is licensed to practice in Colorado (license number PA.0004065) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417034737.

Contact Information

	Mr Vincenzo Randazzo, PA
	10240 Park Meadows Dr, Lone Tree, CO 80124-5425
	(303) 338-4545
	Not Available

Physician's Profile

Full Name	Mr Vincenzo Randazzo
Gender	Male
Speciality	Physician Assistant - Medical
Location	10240 Park Meadows Dr, Lone Tree, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417034737
Provider Enumeration Date: 11/01/2006
Last Update Date: 05/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3476868126
Enrollment ID: I20150811003442

Medical Identifiers

Medical identifiers for Mr Vincenzo Randazzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417034737	NPI	-	NPPES
028228	Other	CO	KAISER COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	P47669 (New York)	Secondary
363AM0700X	Physician Assistant - Medical	PA.0004065 (Colorado)	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. Mr Vincenzo Randazzo 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
Mr Vincenzo Randazzo, PA 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () -	Mr Vincenzo Randazzo, PA 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545

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Mr Vincenzo Randazzo, PA - Medicare Physician Assistant in Lone Tree, CO