Dr Randall E Wiley, DC, MSN, ARNP is a medicare enrolled "Nurse Practitioner - Family" provider in Leonardtown, Maryland. His current practice location is
23511 Hollywood Rd Ste 2, Leonardtown, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 997-0611.
Dr Randall E Wiley is licensed to practice in Maryland (license number R268981) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013029735.
Healthcare Provider's Profile
| Full Name | Dr Randall E Wiley |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 23511 Hollywood Rd Ste 2, Leonardtown, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Randall E Wiley attended and graduated from in
NPI Data:
- NPI Number: 1013029735
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Randall E Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013029735 | NPI | - | NPPES |
| R268981 | Other | MD | MARYLAND STATE LICENSE |
| 0104556249 | Other | VA | VA STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0104556249 (Virginia) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | R268981 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R268981 (Maryland) | 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. Dr Randall E Wiley 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 |
|---|
Dr Randall E Wiley, DC, MSN, ARNP
23511 Hollywood Rd Ste 2,
Leonardtown, MD 20650-5922
Ph: (301) 997-0611 | Dr Randall E Wiley, DC, MSN, ARNP
23511 Hollywood Rd Ste 2,
Leonardtown, MD 20650-5922
Ph: (301) 997-0611 |
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