Zachary James Randolph, DPT - Medicare Physical Therapist in Amory, MS

Zachary James Randolph, DPT is a medicare enrolled "Physical Therapist" provider in Amory, Mississippi. His current practice location is 60368 Cotton Gin Port Rd, Amory, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 257-3669.

Zachary James Randolph is licensed to practice in Mississippi (license number PT6683) 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 1023663317.

Contact Information

Zachary James Randolph, DPT
60368 Cotton Gin Port Rd,
Amory, MS 38821
(662) 257-3669
(662) 257-3961



Healthcare Provider's Profile

Full NameZachary James Randolph
GenderMale
SpecialityPhysical Therapist
Location60368 Cotton Gin Port Rd, Amory, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023663317
  • Provider Enumeration Date: 08/05/2019
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315275567
  • Enrollment ID: I20231026001187

Medical Identifiers

Medical identifiers for Zachary James Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023663317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT6683 (Mississippi)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. Zachary James Randolph allows following entities to bill medicare on his behalf.
Provider NameBreakthrough Physical Therapy
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1396522736
PECOS PAC ID: 3971959099
Enrollment ID: O20231026001241

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› Verified 6 days ago

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. Zachary James 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 AddressPractice Location Address
Zachary James Randolph, DPT
60368 Cotton Gin Port Rd,
Amory, MS 38821

Ph: (662) 257-3669
Zachary James Randolph, DPT
60368 Cotton Gin Port Rd,
Amory, MS 38821

Ph: (662) 257-3669

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Physical Therapist in Amory, MS

Jamee Fratesi Zepponi, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821
Phone: 662-257-4048    Fax: 662-257-4080
Kelly Coker Dabbs,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Earl Frye Blvd, Amory, MS 38821
Phone: 662-256-4640    
Melinda Dickerson, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 404 Peg Ln, Amory, MS 38821
Phone: 662-315-0084    Fax: 479-709-7717
Kacey Byrd Roberts, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1112 Highway 278 E Ste A, Amory, MS 38821
Phone: 662-257-4048    Fax: 662-257-7080
Justin Lee Knight, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821
Phone: 662-257-4048    Fax: 662-257-4080
Alyson Rae Key, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Earl Frye Blvd, Amory, MS 38821
Phone: 662-257-4048    Fax: 662-257-4080

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