Courtney Dyan Randolph, ARNP in Bonney Lake, WA - Medicare Nurse Practitioner

Courtney Dyan Randolph, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Bonney Lake, Washington. Her current practice location is 10004 204th Ave E Fl 3, Bonney Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 848-5951.

Courtney Dyan Randolph is licensed to practice in Washington (license number AP61372574) 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 1558071597.

Contact Information

	Courtney Dyan Randolph, ARNP
	10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539
	(253) 848-5951
	(253) 845-7073

Provider's Profile

Full Name	Courtney Dyan Randolph
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10004 204th Ave E Fl 3, Bonney Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558071597
Provider Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 1759741713
Enrollment ID: I20230721002361

Medical Identifiers

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

Identifier	Type	State	Issuer
1558071597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61372574 (Washington)	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. Courtney Dyan Randolph allows following entities to bill medicare on her behalf.

Entity Name	South Hill Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538253331 PECOS PAC ID: 8729980396 Enrollment ID: O20040123000443

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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. Courtney Dyan 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 Address	Practice Location Address
Courtney Dyan Randolph, ARNP 10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539 Ph: (253) 848-5951	Courtney Dyan Randolph, ARNP 10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539 Ph: (253) 848-5951

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Long-term use of opioids increases risk of new-onset depression

Opioids may cause short-term improvement in mood, but long-term use imposes risk of new-onset depression, a Saint Louis University study shows.

Reading labels on food products can prevent obesity

Counseling sessions with community pharmacist lead to better medication adherence

Advantech partners with Imprivata® to validate medical tablets and PCs for increased data security in healthcare

Nurse Practitioner Nurses in Bonney Lake, WA

Rachel Lee Criddle, MSN, NP-C, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100
Kiersti Devaney, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073
Megan Barker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000
Mr. Timothy Fletcher-velasco, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19647 Wa-410, Bonney Lake, WA 98391 Phone: 253-921-4569 Fax: 253-750-3475
Michelle Christine Jackson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9550 195th Ave E, Bonney Lake, WA 98391 Phone: 253-447-3400
Maria Beloit, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9230 Sky Island Dr E Fl 2, Bonney Lake, WA 98391 Phone: 253-750-6000
Mrs. Teresa Ann Marshall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, #3400, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073

Courtney Dyan Randolph, ARNP - Medicare Nurse Practitioner in Bonney Lake, WA

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Long-term use of opioids increases risk of new-onset depression

Reading labels on food products can prevent obesity

Counseling sessions with community pharmacist lead to better medication adherence

Advantech partners with Imprivata® to validate medical tablets and PCs for increased data security in healthcare

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Long-term use of opioids increases risk of new-onset depression

Reading labels on food products can prevent obesity

Counseling sessions with community pharmacist lead to better medication adherence

Advantech partners with Imprivata® to validate medical tablets and PCs for increased data security in healthcare

Nurse Practitioner Nurses in Bonney Lake, WA