Mr Randy James Wills, MA LP is a
Psychologist based in Cokato, Minnesota. Mr Randy James Wills is licensed to practice in Minnesota (license number LP0388) and his current practice location is
13637 60th St Sw, Cokato, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 286-2922.
NPI number for Mr Randy James Wills is 1508941931 and his current mailing address is 2346 Abbywood Ln, North Mankato, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508941931.
Healthcare Provider's Profile
| Full Name | Mr Randy James Wills |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 13637 60th St Sw, Cokato, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508941931
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 09/25/2008
Medical Identifiers
Medical identifiers for Mr Randy James Wills such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508941931 | NPI | - | NPPES |
| 58528WI | Other | MN | BLUE CROSS OF MN |
| 120450 | Other | MN | BHP |
| 720851100 | Medicaid | MN | |
| K535 | Other | MN | UCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP0388 (Minnesota) | 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. Mr Randy James Wills is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Randy James Wills, MA LP
2346 Abbywood Ln,
North Mankato, MN 56003-4245
Ph: (507) 351-2920 | Mr Randy James Wills, MA LP
13637 60th St Sw,
Cokato, MN 55321-4210
Ph: (320) 286-2922 |
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