Graylyn Lewis Wiley, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Trent Woods, North Carolina. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Charles D Godwin and her current practice location is
2800 Village Way, Trent Woods, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 637-7300.
Graylyn Lewis Wiley is licensed to practice in North Carolina (license number 5013915) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912594979.
Provider's Profile
Full Name | Graylyn Lewis Wiley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 2800 Village Way, Trent Woods, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Graylyn Lewis Wiley graduated from nursing school in 2020
NPI Data:
- NPI Number: 1912594979
- Provider Enumeration Date: 12/24/2020
- Last Update Date: 12/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921417437
- Enrollment ID: I20210513002493
Medical Identifiers
Medical identifiers for Graylyn Lewis Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912594979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5013915 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Charles D Godwin | 6002892270 | 6 |
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. Graylyn Lewis Wiley allows following entities to bill medicare on her behalf.
Entity Name | Charles D Godwin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134176506 PECOS PAC ID: 6002892270 Enrollment ID: O20040628001027 |
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Entity Name | Carolinaeast Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104066794 PECOS PAC ID: 0143378117 Enrollment ID: O20090430000303 |
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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. Graylyn Lewis 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 |
Graylyn Lewis Wiley, PMHNP 2800 Village Way, Trent Woods, NC 28562-7305 Ph: () - | Graylyn Lewis Wiley, PMHNP 2800 Village Way, Trent Woods, NC 28562-7305 Ph: (252) 637-7300 |
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