Matthew Hallett Wiley, DO | |
1401 Morris Dr, Okmulgee, OK 74447-6429 | |
(918) 758-3177 | |
Not Available |
Full Name | Matthew Hallett Wiley |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 14 Years |
Location | 1401 Morris Dr, Okmulgee, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376830356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 5055 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Health System | Tahlequah, OK | Hospital |
Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Oklahoma, Pllc | 1254519275 | 80 |
Northeastern Health System | 1456255025 | 94 |
Integral Anesthesia Llc | 9638461973 | 39 |
Entity Name | Northeastern Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Entity Name | Associated Anesthesiologists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891733598 PECOS PAC ID: 7911989017 Enrollment ID: O20040603000292 |
Entity Name | St. John Anesthesia Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
Entity Name | Creek Nation Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Entity Name | Utb Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407150709 PECOS PAC ID: 0547448524 Enrollment ID: O20110621000633 |
Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357 |
Entity Name | Integral Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
Mailing Address | Practice Location Address |
---|---|
Matthew Hallett Wiley, DO 10614 S Nandina Ct, Jenks, OK 74037-2649 Ph: (918) 991-5000 | Matthew Hallett Wiley, DO 1401 Morris Dr, Okmulgee, OK 74447-6429 Ph: (918) 758-3177 |
Carla J Jones, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-591-5700 Fax: 918-756-4490 |