| Dr Randall E Wiley, DC, MSN, ARNP | |
|
23511 Hollywood Rd Ste 2, Leonardtown, MD 20650-5922 | |
| (301) 997-0611 | |
| (855) 253-1610 |
| Full Name | Dr Randall E Wiley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013029735 | NPI | - | NPPES |
| 0104556249 | Other | VA | VA STATE LICENSE |
| R268981 | Other | MD | MARYLAND STATE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| 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 |
Lorenda Beth Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25500 Point Lookout Rd, Leonardtown, MD 20650 Phone: 301-475-8981 |
Valerie Adriani, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23000 Moakley St Ste 102, Leonardtown, MD 20650 Phone: 301-475-5555 |
Andrea R Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23140 Moakley St Ste 4, Leonardtown, MD 20650 Phone: 301-997-1029 Fax: 301-997-1489 |
Ms. Heather Renee Jefferson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25500 Point Lookout Rd Ste 250, Leonardtown, MD 20650 Phone: 240-434-7474 Fax: 855-657-5992 |
Ms. Lorraine R. Diana, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40900 Merchants Ln, Leonardtown, MD 20650 Phone: 301-997-1315 Fax: 301-997-1110 |
Meaghan L Lansley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21580 Peabody St, Leonardtown, MD 20650 Phone: 301-475-4330 |
Kimberly Ann Cook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41680 Miss Bessie Dr Ste 102, Leonardtown, MD 20650 Phone: 301-997-1788 Fax: 301-997-1790 |