Grant Douglas Wiles, DDS in Fayetteville, NC

Grant Douglas Wiles, DDS is a medicare enrolled "Dentist - General Practice" provider in Fayetteville, North Carolina. His current practice location is 2029 Valleygate Dr, Suite 201, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 485-8885.

Grant Douglas Wiles is licensed to practice in North Carolina (license number 8043) 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 1083728745.

Contact Information

	Grant Douglas Wiles, DDS
	2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3688
	(910) 485-8885
	(910) 485-8287

Map and Direction

Healthcare Provider's Profile

Full Name	Grant Douglas Wiles
Gender	Male
Speciality	Dentist - General Practice
Location	2029 Valleygate Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083728745
Provider Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2961432984
Enrollment ID: I20050818000563

Medical Identifiers

Medical identifiers for Grant Douglas Wiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083728745	NPI	-	NPPES
5901426	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	8043 (North Carolina)	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. Grant Douglas Wiles allows following entities to bill medicare on his behalf.

Entity Name	Knowles, Smith, And Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750495693 PECOS PAC ID: 8628399227 Enrollment ID: O20150608002836

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. Grant Douglas Wiles 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
Grant Douglas Wiles, DDS 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3688 Ph: (910) 485-8885	Grant Douglas Wiles, DDS 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3688 Ph: (910) 485-8885

Reviews and Comments

Dentist in Fayetteville, NC

Dr. Dana Thi Tang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2997 Hope Mills Rd Ste C, Fayetteville, NC 28306 Phone: 910-426-0800
Dr. Kenly Lewis Dine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4140 Ramsey St, Suite 104, Fayetteville, NC 28311 Phone: 910-670-6321
Dr. David Joel Hedgecoe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 600 Executive Pl, Fayetteville, NC 28305 Phone: 910-484-6145 Fax: 910-484-2552
Dr. Daniel Milbert Pietz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Veteran Administration Medical Center, Fayetteville, NC 28301 Phone: 910-822-7029 Fax: 910-482-5050
Dr. William Francis Freccia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1312 Avon St, Fayetteville, NC 28304 Phone: 910-323-4200 Fax: 910-323-9827
Dr. Kenneth Boyd Lewis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4140 Ramsey St Ste 104, Fayetteville, NC 28311 Phone: 910-488-0518 Fax: 910-630-2432
Dr. Lauren M Brannon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-485-8884 Fax: 910-485-8287

Grant Douglas Wiles, DDS - Medicare Dentist in Fayetteville, NC