Dr Randall E Wiley, DC, MSN, ARNP is a medicare enrolled "Nurse Practitioner - Family" provider in Omak, Washington. His current practice location is
617 Benton St, Omak, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 422-7416.
Dr Randall E Wiley is licensed to practice in Washington (license number N361159228) 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 1013029735.
Healthcare Provider's Profile
| Full Name | Dr Randall E Wiley |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 617 Benton St, Omak, Washington |
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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. |
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Medical Education and Training:
- Dr Randall E Wiley attended and graduated from in
NPI Data:
- NPI Number: 1013029735
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Randall E Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013029735 | NPI | - | NPPES |
| 0104556249 | Other | VA | VA STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0104556249 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | N361159228 (Washington) | Primary |
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 Randall E Wiley 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 Randall E Wiley, DC, MSN, ARNP
Po Box 70,
Nespelem, WA 99155-0070
Ph: (509) 634-2900 | Dr Randall E Wiley, DC, MSN, ARNP
617 Benton St,
Omak, WA 98841-9636
Ph: (509) 422-7416 |
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