Kenneth Wiley, DNP, CRNA in Port Charlotte, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Kenneth Wiley, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Charlotte, Florida. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Punta Gorda Hb Medical Services, Llc and his current practice location is 2500 Harbor Blvd, Port Charlotte, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 766-4122.

Kenneth Wiley is licensed to practice in Florida (license number APRN11000983) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235613662.

Contact Information

	Kenneth Wiley, DNP, CRNA
	2500 Harbor Blvd, Port Charlotte, FL 33952-5000
	(941) 766-4122
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Wiley
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	2500 Harbor Blvd, Port Charlotte, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Wiley graduated from nursing school in 2018

NPI Data:

NPI Number: 1235613662
Provider Enumeration Date: 09/21/2018
Last Update Date: 04/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7416295746
Enrollment ID: I20190212002966

Medical Identifiers

Medical identifiers for Kenneth Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235613662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9355754 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11000983 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bayfront Health Port Charlotte	Port charlotte, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Punta Gorda Hb Medical Services, Llc	1456794528	22

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. Kenneth Wiley allows following entities to bill medicare on his behalf.

Entity Name	Sarasota Anesthesiologists, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710917976 PECOS PAC ID: 2365341641 Enrollment ID: O20040106000311

Entity Name	Capital Anesthesia Solutions Of Florida Ii, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165

Entity Name	Punta Gorda Hb Medical Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013782861 PECOS PAC ID: 1456794528 Enrollment ID: O20240206000477

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. Kenneth 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
Kenneth Wiley, DNP, CRNA 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (561) 316-3019	Kenneth Wiley, DNP, CRNA 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (941) 766-4122

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Port Charlotte, FL

Martha Gaudiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020
Juan David Vargas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18350 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-206-7251
James Hutchins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020
Karen Kalbfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Kindred Blvd, Port Charlotte, FL 33954 Phone: 941-624-5220
Michael A Baskind, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21275 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-624-5559 Fax: 941-624-3777
Ms. Debra S. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952 Phone: 941-235-5800
Nancy A Waywood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122

Kenneth Wiley, DNP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Port Charlotte, FL