Randy Edwards, CRNP is a medicare enrolled "Nurse Practitioner" physician in Baltimore, Maryland. His current practice location is
600 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-2258.
Randy Edwards is licensed to practice in Florida (license number APRN11033304) 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 1144947284.
Physician's Profile
Full Name | Randy Edwards |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 600 N Wolfe St, Baltimore, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144947284
- Provider Enumeration Date: 10/19/2022
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244602308
- Enrollment ID: I20230218000211
Medical Identifiers
Medical identifiers for Randy Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144947284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RP1001X | Internal Medicine - Pulmonary Disease | APRN11033304 (Florida) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | R257284 (Maryland) | Secondary |
363L00000X | Nurse Practitioner | APRN11033304 (Florida) | 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. Randy Edwards allows following entities to bill medicare on his behalf.
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
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Entity Name | Personic Virtual Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740878420 PECOS PAC ID: 8729496849 Enrollment ID: O20221020001991 |
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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. Randy Edwards 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 |
Randy Edwards, CRNP 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Randy Edwards, CRNP 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-2258 |
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