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
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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1154352045
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 09/09/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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