Dr Randolph Richard Whitely, MD is a medicare enrolled "Family Medicine" physician in Herington, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1992 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wesley Physicians Medical Specialties Llc and his current practice location is
1005 N B St, Herington, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 258-2100.
Dr Randolph Richard Whitely is licensed to practice in Kansas (license number 04-25153) 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 1659324200.
Physician's Profile
| Full Name | Dr Randolph Richard Whitely |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 34 Years |
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| Location | 1005 N B St, Herington, Kansas |
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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. |
Medical Education and Training:
- Dr Randolph Richard Whitely attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1992
NPI Data:
- NPI Number: 1659324200
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 04/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 3971495664
- Enrollment ID: I20040326001293
Medical Identifiers
Medical identifiers for Dr Randolph Richard Whitely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659324200 | NPI | - | NPPES |
| 100166280K | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 04-25153 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wesley Physicians Medical Specialties Llc | 1355509886 | 39 |
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 Randolph Richard Whitely allows following entities to bill medicare on his behalf.
| Entity Name | Hospital District No 1 Marion Co |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144355793 PECOS PAC ID: 7517923196 Enrollment ID: O20050428000824 |
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| Entity Name | Wesley Physicians Medical Specialties Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699069732 PECOS PAC ID: 1355509886 Enrollment ID: O20120229000737 |
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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. Dr Randolph Richard Whitely 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 Randolph Richard Whitely, MD 1005 N B St, Herington, KS 67449-1600 Ph: (785) 258-2100 | Dr Randolph Richard Whitely, MD 1005 N B St, Herington, KS 67449-1600 Ph: (785) 258-2100 |
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