Kelcy Wiley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Dummerston, Vermont. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brattleboro Retreat and her current practice location is
1 Anna Marsh Ln, Dummerston, Vermont. You can reach out to her office (for appointments etc.) via phone at
(410) 463-9418.
Kelcy Wiley is licensed to practice in Maryland (license number R182450) 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 1508246695.
Provider's Profile
| Full Name | Kelcy Wiley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 1 Anna Marsh Ln, Dummerston, Vermont |
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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. |
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Medical Education and Training:
- Kelcy Wiley graduated from nursing school in 2015
NPI Data:
- NPI Number: 1508246695
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860795804
- Enrollment ID: I20211109002296
Medical Identifiers
Medical identifiers for Kelcy Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508246695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | CNP151191 (Maine) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R182450 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brattleboro Retreat | 7012828908 | 51 |
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. Kelcy Wiley allows following entities to bill medicare on her behalf.
| Entity Name | Brattleboro Retreat |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730185232
PECOS PAC ID: 7012828908
Enrollment ID: O20041123000627 |
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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. Kelcy 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 |
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Kelcy Wiley, NP-C
1 Anna Marsh Ln,
Dummerston, VT 05301-3292
Ph: () - | Kelcy Wiley, NP-C
1 Anna Marsh Ln,
Dummerston, VT 05301-3292
Ph: (410) 463-9418 |
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