Randi Tatum, DO - Medicare Pediatrics in Albany, GA

Randi Tatum, DO is a medicare enrolled "Pediatrics" physician in Albany, Georgia. Her current practice location is 2701 Meredyth Dr, Albany, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 883-7010.

Randi Tatum is licensed to practice in Georgia (license number 83638) 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 1083062160.

Contact Information

Randi Tatum, DO
2701 Meredyth Dr,
Albany, GA 31707-2267
(229) 883-7010
Not Available



Physician's Profile

Full NameRandi Tatum
GenderFemale
SpecialityPediatrics
Location2701 Meredyth Dr, Albany, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083062160
  • Provider Enumeration Date: 05/30/2016
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840521068
  • Enrollment ID: I20191018001393

Medical Identifiers

Medical identifiers for Randi Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083062160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics UO4893 (Florida)Secondary
208000000XPediatrics 83638 (Georgia)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. Randi Tatum allows following entities to bill medicare on her behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064

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Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983

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Entity NameTift Regional Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881203305
PECOS PAC ID: 2062745169
Enrollment ID: O20200217002409

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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. Randi Tatum 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
Randi Tatum, DO
2701 Meredyth Dr,
Albany, GA 31707-2267

Ph: () -
Randi Tatum, DO
2701 Meredyth Dr,
Albany, GA 31707-2267

Ph: (229) 883-7010

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Pediatrics Doctors in Albany, GA

Mr. Marcus Allen Stripling,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-312-1000    
Dr. Dennis Alan Twedt, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1909 Aberdeen Rd, Suite 106, Albany, GA 31701
Phone: 229-432-7444    Fax: 229-432-7445
Dr. Max Kuo, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 810 13th Ave Ste 107, Albany, GA 31701
Phone: 229-883-4749    Fax: 229-883-3910
Dr. Danice B Roberts, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1801 Palmyra Rd, Albany, GA 31701
Phone: 229-434-1400    Fax: 229-434-0040
Diosita Watin Lariosa, M.D.,P.C.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 513 W 2nd Ave, Albany, GA 31701
Phone: 229-432-7444    Fax: 229-432-7445
Dr. Tania Smith, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 600 Pointe North Blvd, Albany, GA 31721
Phone: 229-903-4044    Fax: 229-903-4055

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