Randy Edwards, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Randy Edwards, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Baltimore, Maryland. His current practice location is 600 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-2258.

Randy Edwards is licensed to practice in Maryland (license number R257284) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144947284.

Contact Information

	Randy Edwards, CRNP
	600 N Wolfe St, Baltimore, MD 21287-0005
	(410) 955-2258
	(443) 287-6964

Map and Direction

Provider's Profile

Full Name	Randy Edwards
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	600 N Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144947284
Provider Enumeration Date: 10/19/2022
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0244602308
Enrollment ID: I20230218000211

Medical Identifiers

Medical identifiers for Randy Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144947284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11033304 (Florida)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R257284 (Maryland)	Primary

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. Randy Edwards allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Personic Virtual Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740878420 PECOS PAC ID: 8729496849 Enrollment ID: O20221020001991

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. Randy Edwards 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
Randy Edwards, CRNP 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Randy Edwards, CRNP 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-2258

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

Randy Edwards, CRNP - Medicare Nurse Practitioner in Baltimore, MD