Mr Randall David Wilhoit Iv, RN in Baltimore, MD

Mr Randall David Wilhoit Iv, RN is a medicare enrolled "Nurse Practitioner" in Baltimore, Maryland. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mission Health Community Multispecialty Providers Llc and his current practice location is 22 S Greene St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 328-8667.

Mr Randall David Wilhoit Iv is licensed to practice in North Carolina (license number 5013068) 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 1467961029.

Contact Information

	Mr Randall David Wilhoit Iv, RN
	22 S Greene St, Baltimore, MD 21201-1544
	(410) 328-8667
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Randall David Wilhoit Iv
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	22 S Greene St, Baltimore, 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.

Medical Education and Training:

Mr Randall David Wilhoit Iv graduated from nursing school in 2017

NPI Data:

NPI Number: 1467961029
Provider Enumeration Date: 09/27/2017
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 4486913811
Enrollment ID: I20200721004207

Medical Identifiers

Medical identifiers for Mr Randall David Wilhoit Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467961029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5013068 (North Carolina)	Primary
163WM0705X	Registered Nurse - Medical-surgical	R210020 (Maryland)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R210020 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Mission Hospital And Asheville Surgery Ce	Asheville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mission Health Community Multispecialty Providers Llc	9537468574	581

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 Randall David Wilhoit Iv allows following entities to bill medicare on his behalf.

Entity Name	Mission Health Community Multispecialty Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883

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 Randall David Wilhoit Iv 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 Randall David Wilhoit Iv, RN 2515 Guilford Ave, Baltimore, MD 21218-4619 Ph: (864) 201-5927	Mr Randall David Wilhoit Iv, RN 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-8667

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Mr Randall David Wilhoit Iv, RN - Medicare Nurse Practitioner in Baltimore, MD