| Nicole Wiley, DO | |
|
401 Division St, Suite 205, South Charleston, WV 25309 | |
| (304) 414-4875 | |
| (304) 414-4876 |
| Full Name | Nicole Wiley |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 401 Division St, South Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780800110 | NPI | - | NPPES |
| B441 | Other | WV | MEDICARE GROUP NUMBER |
| 3810008840 | Other | WV | GROUP MEDICAID |
| 3811012117 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2204 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Wiley, DO 1430 Nottingham Rd, Charleston, WV 25314-2434 Ph: (304) 541-7177 | Nicole Wiley, DO 401 Division St, Suite 205, South Charleston, WV 25309 Ph: (304) 414-4875 |
Robert Romaine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 | |
Adam J Breinig, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1563 Sand Plant Rd, South Charleston, WV 25309 Phone: 304-756-1500 Fax: 304-756-1548 | |
Leela K Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Division St, Suite 306, South Charleston, WV 25309 Phone: 304-766-4300 | |
Dr. Melissa Rena Kijewski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1563 Sand Plant Rd, South Charleston, WV 25309 Phone: 304-756-1500 Fax: 304-756-1548 | |
Dr. Chad C Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530 | |
Dr. Julie Ann Detemple, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 2nd Ave, South Charleston, WV 25303 Phone: 304-720-3555 Fax: 304-720-3556 | |
Howard Wesley Lafferty Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 2nd Ave, South Charleston, WV 25303 Phone: 304-720-3555 Fax: 304-720-2556 |