Dr Randall E Wiley, DC, MSN, ARNP is a medicare enrolled "Nurse Practitioner - Family" provider in Leonardtown, Maryland. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medstar Medical Group Ii Llc, Medstar Urgent Care Llc and 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 |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 23511 Hollywood Rd Ste 2, Leonardtown, Maryland |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Randall E Wiley graduated from medical school in 2020
NPI Data:
- NPI Number: 1013029735
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597867465
- Enrollment ID: I20250506001183
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Medstar Urgent Care Llc | 9335303155 | 262 |
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. Dr Randall E Wiley allows following entities to bill medicare on his behalf.
| Provider Name | Medstar Urgent Care Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1902175870
PECOS PAC ID: 9335303155
Enrollment ID: O20120607000236 |
|---|
| Provider Name | Medstar Medical Group Ii Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347 |
|---|
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 |
Reviews and Comments