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RANDALL MARK WILK MD DDS PHD
NPI 1669578944
Oral & Maxillofacial Surgery in Gretna, LA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
120 MEADOWCREST ST., SUITE 300, GRETNA, LA 70056(504) 362-6135(504) 362-6134 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall Mark Wilk Md Dds Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL MARK WILK MD DDS PHD (NPI 1669578944) is an individual oral & maxillofacial surgery provider in Gretna, Louisiana, licensed in Louisiana (022962) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1995).

NPPES Registry Identity

NPI1669578944
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameRANDALL MARK WILKCredential: MD DDS PHD
Location Address120 MEADOWCREST ST., SUITE 300Gretna, LA 70056
Mailing Address120 Meadowcrest St., Suite 300Gretna, LA 70056 · (504) 362-6135 · Fax (504) 362-6134
Phone(504) 362-6135
Fax(504) 362-6134
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1995
Enumeration DateSeptember 15, 2006
Last NPPES UpdateApril 22, 2013
✔ NPI 1669578944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in LA · 022962
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 4669 (LA)
120 MEADOWCREST ST., Gretna, LA 70056
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randall Mark Wilk Md Dds Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749295632
PECOS Enrollment IDI20060214000423
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEREGAL FAY BURBANK MD
Pediatrics
120 MEADOWCREST ST., SUITE 245
GRETNA, LA 70056
Jefferson Parish (504) 391-7690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Wilk's NPI number?

The NPI number for Randall Wilk is 1669578944. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Randall Wilk located?

Randall Wilk practices at 120 Meadowcrest St. Suite 300, Gretna, LA 70056. The listed phone number is (504) 362-6135.

What is Randall Wilk's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Randall Wilk enrolled in Medicare?

Yes. Randall Wilk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Wilk accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Randall Wilk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Wilk was last updated on April 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.