Ryleigh Marie Etzweiler, PA-C is a medicare enrolled "Physician Assistant" physician in Randallstown, Maryland. Her current practice location is
5401 Old Court Rd, Randallstown, Maryland. You can reach out to her office (for appointments etc.) via phone at
(000) 000-0000.
Ryleigh Marie Etzweiler is licensed to practice in Maryland (license number C08651) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609590223.
Physician's Profile
Full Name | Ryleigh Marie Etzweiler |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5401 Old Court Rd, Randallstown, 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: 1609590223
- Provider Enumeration Date: 09/27/2022
- Last Update Date: 11/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183092885
- Enrollment ID: I20221201000291
Medical Identifiers
Medical identifiers for Ryleigh Marie Etzweiler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609590223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | C0008651 (Maryland) | Secondary |
363A00000X | Physician Assistant | C08651 (Maryland) | 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. Ryleigh Marie Etzweiler 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 |
Ryleigh Marie Etzweiler, PA-C 21278 Meadowsweet Ct, Ashburn, VA 20147-5404 Ph: (571) 442-6507 | Ryleigh Marie Etzweiler, PA-C 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (000) 000-0000 |
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