Emily K Wiley, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Georgetown, Ohio. Her current practice location is
421 Home St, Georgetown, Ohio. You can reach out to her office (for appointments etc.) via phone at
(833) 510-4357.
Emily K Wiley is licensed to practice in Ohio (license number I.2405876) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093304511.
Healthcare Provider's Profile
| Full Name | Emily K Wiley |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 421 Home St, Georgetown, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093304511
- Provider Enumeration Date: 01/11/2021
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012449648
- Enrollment ID: I20241021001288
Medical Identifiers
Medical identifiers for Emily K Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093304511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162443 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2405876 (Ohio) | 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. Emily K Wiley allows following entities to bill medicare on her behalf.
| Entity Name | Brightview Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659769446
PECOS PAC ID: 9032426044
Enrollment ID: O20150923000820 |
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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. Emily K Wiley 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 |
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Emily K Wiley, LISW, LICDC
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600
Ph: (513) 873-1269 | Emily K Wiley, LISW, LICDC
421 Home St,
Georgetown, OH 45121-1407
Ph: (833) 510-4357 |
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