Elka Jeanine Wiley, MD | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(321) 434-8544 | |
(321) 434-3438 |
Full Name | Elka Jeanine Wiley |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1350 Hickory St, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194927251 | NPI | - | NPPES |
QW697 | Other | FL | HFMG MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084V0102X | Psychiatry & Neurology - Vascular Neurology | 81808 (Georgia) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME103198 (Florida) | Primary |
Entity Name | Health First Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Mailing Address | Practice Location Address |
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Elka Jeanine Wiley, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (214) 348-5443 | Elka Jeanine Wiley, MD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-8544 |
Dr. Earnest Edward Seiler Iii, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1696 West Hibiscus Blvd, Ste A, Melbourne, FL 32901 Phone: 321-725-0554 Fax: 321-952-0202 | |
Angela S Spencer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2100 N Wickham Rd, Melbourne, FL 32935 Phone: 321-752-7100 Fax: 321-752-7105 | |
Mr. Gary Mosher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 3, Melbourne, FL 32935 Phone: 321-254-3042 Fax: 321-254-4770 | |
William R Sunter Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr, Suite 2g, Melbourne, FL 32901 Phone: 321-473-7177 Fax: 321-725-7028 | |
Dr. Kelly Lynn Dunn, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1696 West Hibiscus Blvd Suite A, Melbourne, FL 32901 Phone: 321-725-0554 Fax: 321-952-0202 | |
Dr. Bethann Mahoney, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 S Harbor City Blvd, Melbourne, FL 32901 Phone: 321-259-1662 Fax: 321-259-1223 | |
Santiago Gancayco De Los Angeles, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 |