Dr Melora Wiley, MD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" physician in Jackson, Mississippi. Her current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 984-5239.
Dr Melora Wiley is licensed to practice in Mississippi (license number 27-131) 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 1942646161.
Physician's Profile
Full Name | Dr Melora Wiley |
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Gender | Female |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 2500 N State St, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942646161
- Provider Enumeration Date: 05/14/2013
- Last Update Date: 09/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294168910
- Enrollment ID: I20191210001818
Medical Identifiers
Medical identifiers for Dr Melora Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942646161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 27131 (Mississippi) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 27-131 (Mississippi) | 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. Dr Melora Wiley allows following entities to bill medicare on her behalf.
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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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. Dr Melora 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 |
Dr Melora Wiley, MD 2500 N State St, Cbo-suite 4200, Jackson, MS 39216-4500 Ph: (601) 984-9697 | Dr Melora Wiley, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5239 |
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