Dr Clarence L Wiley Sr, MD,MMS,FAAD in Oklahoma City, OK

Dr Clarence L Wiley Sr, MD,MMS,FAAD is a medicare enrolled "Dermatology" physician in Oklahoma City, Oklahoma. He went to Warren Alpert Medical School Of Brown University and graduated in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Absentee Shawnee Tribal Health Authority, Inc and his current practice location is 1211 N Shartel Ave Ste 407, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 278-7911.

Dr Clarence L Wiley Sr is licensed to practice in Oklahoma (license number 12980) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477564797.

Contact Information

	Dr Clarence L Wiley Sr, MD,MMS,FAAD
	1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425
	(405) 278-7911
	(405) 278-7925

Map and Direction

Physician's Profile

Full Name	Dr Clarence L Wiley Sr
Gender	Male
Speciality	Dermatology
Experience	47 Years
Location	1211 N Shartel Ave Ste 407, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clarence L Wiley Sr attended and graduated from Warren Alpert Medical School Of Brown University in 1977

NPI Data:

NPI Number: 1477564797
Provider Enumeration Date: 08/11/2006
Last Update Date: 08/04/2016

Medicare PECOS Information:

PECOS PAC ID: 8224001086
Enrollment ID: I20040818001354

Medical Identifiers

Medical identifiers for Dr Clarence L Wiley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477564797	NPI	-	NPPES
243432400	Other	OK	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	12980 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Absentee Shawnee Tribal Health Authority, Inc	5799171088	65

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. Dr Clarence L Wiley Sr allows following entities to bill medicare on his behalf.

Entity Name	Li-si-wi-nwi Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124152962 PECOS PAC ID: 4183895519 Enrollment ID: O20130227000474

Entity Name	Absentee Shawnee Tribal Health Authority, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294

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. Dr Clarence L Wiley Sr 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
Dr Clarence L Wiley Sr, MD,MMS,FAAD Po Box 2074, Lowell, AR 72745-2074 Ph: (405) 278-7911	Dr Clarence L Wiley Sr, MD,MMS,FAAD 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425 Ph: (405) 278-7911

Reviews and Comments

Dermatology Doctors in Oklahoma City, OK

Jason Matthew Hirshburg, M.D. PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: University Of Oklahoma Hsc - Dermatology, 619 N.e. 13th St, Oklahoma City, OK 73104 Phone: 405-271-4662 Fax: 405-271-4662
Raymond L Cornelison, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3727 Nw 63rd St Ste 205, Oklahoma City, OK 73116 Phone: 405-608-4494 Fax: 405-608-4504
Dr. Carlos Andres Garcia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4805 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-1506 Fax: 405-636-1511
Francesca L Veon, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 13th St # 3960, Oklahoma City, OK 73104 Phone: 405-271-6110
Mark Stover Sullivan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3366 Nw Expressway, Suite 720, Oklahoma City, OK 73112 Phone: 405-947-0676 Fax: 405-945-4876
Dr. Brandon Rhinehart, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13100 N Western, Ste 301, Oklahoma City, OK 73114 Phone: 405-947-6647 Fax: 405-948-6647
Mark A Dawkins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13174 N Macarthur Blvd, Oklahoma City, OK 73142 Phone: 405-721-5555 Fax: 405-470-7093

Dr Clarence L Wiley Sr, MD,MMS,FAAD - Medicare Dermatology in Oklahoma City, OK