Mr Randy Ray Wientjes, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Metropolis, Illinois. He graduated from nursing school in 1986 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ferrell Hospital Community Foundation and 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
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 1154352045.
Provider's Profile
| Full Name | Mr Randy Ray Wientjes |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 40 Years |
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| Location | 3042 Lakeview Dr, Metropolis, Illinois |
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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:
- Mr Randy Ray Wientjes graduated from nursing school in 1986
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.
| Identifier | Type | State | Issuer |
| 1154352045 | NPI | - | NPPES |
| 74007063 | Medicaid | KY | |
| P01099568 | Other | KY | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 209-004142 (Illinois) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR000381 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3001002 (Kentucky) | Secondary |
Medical Facilities Affiliation
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 Name | West Kentucky Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548967458 PECOS PAC ID: 7315304243 Enrollment ID: O20230607002100 |
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| Entity Name | Way Better Anesthesia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134817349 PECOS PAC ID: 0941657779 Enrollment ID: O20240304000918 |
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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. 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 Address | Practice 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 |
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