Ladeivia Cherae Wiley, FNP-C in Lubbock, TX - Medicare Nurse Practitioner

Ladeivia Cherae Wiley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. Her current practice location is 3516 22nd Pl, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 797-3322.

Ladeivia Cherae Wiley is licensed to practice in Texas (license number 1113064) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295437796.

Contact Information

	Ladeivia Cherae Wiley, FNP-C
	3516 22nd Pl, Lubbock, TX 79410-1316
	(806) 797-3322
	(806) 797-6622

Map and Direction

Provider's Profile

Full Name	Ladeivia Cherae Wiley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3516 22nd Pl, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295437796
Provider Enumeration Date: 03/20/2023
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6103283403
Enrollment ID: I20230531003747

Medical Identifiers

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

Identifier	Type	State	Issuer
1295437796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1113064 (Texas)	Primary

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. Ladeivia Cherae Wiley allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

Entity Name	Hill Medical Associates, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619612892 PECOS PAC ID: 4981086261 Enrollment ID: O20220803000965

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. Ladeivia Cherae 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
Ladeivia Cherae Wiley, FNP-C 2005 E Grinnell St, Lubbock, TX 79403-1170 Ph: (806) 300-4055	Ladeivia Cherae Wiley, FNP-C 3516 22nd Pl, Lubbock, TX 79410-1316 Ph: (806) 797-3322

Reviews and Comments

Nurse Practitioner Nurses in Lubbock, TX

Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588
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Kevin Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Milwaukee Avenue, Lubbock, TX 79424 Phone: 806-761-0464 Fax: 806-698-6710
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

Ladeivia Cherae Wiley, FNP-C - Medicare Nurse Practitioner in Lubbock, TX