Mr Randy Ray Wientjes, CRNA - Medicare Nurse Anesthetist, Certified Registered in Metropolis, IL

  1. Home
  2. Nurse Anesthetist - CR
  3. IL
  4. Metropolis
Mr Randy Ray Wientjes, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Metropolis, Illinois. His current practice location is 3042 Lakeview Dr, Metropolis, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 524-9217.

Mr Randy Ray Wientjes is licensed to practice in Illinois (license number 209-004142) 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 1154352045.

Contact Information

Mr Randy Ray Wientjes, CRNA
3042 Lakeview Dr,
Metropolis, IL 62960-3119
(618) 524-9217
(618) 524-2158

Map and Direction




Provider's Profile

Full NameMr Randy Ray Wientjes
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3042 Lakeview Dr, Metropolis, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154352045
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 09/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2365340767
  • Enrollment ID: I20031223000086

Medical Identifiers

Medical identifiers for Mr Randy Ray Wientjes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154352045NPI-NPPES
74007063MedicaidKY
P01099568OtherKYRAIL ROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209-004142 (Illinois)Primary
367500000XNurse Anesthetist, Certified Registered CR000381 (South Dakota)Secondary
367500000XNurse Anesthetist, Certified Registered 3001002 (Kentucky)Secondary

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. Mr Randy Ray Wientjes allows following entities to bill medicare on his behalf.
Entity NameWest Kentucky Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548967458
PECOS PAC ID: 7315304243
Enrollment ID: O20230607002100
Entity NameWay Better Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134817349
PECOS PAC ID: 0941657779
Enrollment ID: O20240304000918

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. Mr Randy Ray Wientjes 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 AddressPractice Location Address
Mr Randy Ray Wientjes, CRNA
3042 Lakeview Dr,
Metropolis, IL 62960-3119

Ph: (618) 524-9217		Mr Randy Ray Wientjes, CRNA
3042 Lakeview Dr,
Metropolis, IL 62960-3119

Ph: (618) 524-9217

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Metropolis, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.