James Mitchell Wiley, DO | |
315 W 15th Street, Liberal, KS 67901 | |
(620) 624-1651 | |
(620) 629-2472 |
Full Name | James Mitchell Wiley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 35 Years |
Location | 315 W 15th Street, Liberal, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720029069 | NPI | - | NPPES |
100446560A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 529621 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wagoner Community Hospital | Wagoner, OK | Hospital |
Stroud Regional Medical Center | Stroud, OK | Hospital |
Pemiscot County Memorial Hospital | Hayti, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wagoner Hospital Authority | 0042217531 | 16 |
Pemiscot County Memorial Hospital | 8426024159 | 23 |
Entity Name | Emergency Physicians Of Midwest City Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
Entity Name | Wagoner Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095 |
Entity Name | Emergency Services Of Oklahoma Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
Entity Name | Midwest Hospitalist Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
Mailing Address | Practice Location Address |
---|---|
James Mitchell Wiley, DO 315 W 15th Street, Po Box 1340, Liberal, KS 67905-1340 Ph: (620) 624-1651 | James Mitchell Wiley, DO 315 W 15th Street, Liberal, KS 67901 Ph: (620) 624-1651 |
Earl James Fitzgerald, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th Street, Liberal, KS 67901 Phone: 620-624-1651 Fax: 620-629-2472 |