Ms Lanetra Ann Wiley, NP - Medicare Nurse Practitioner in Memphis, TN

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Ms Lanetra Ann Wiley, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Memphis, Tennessee. Her current practice location is 160 S Hollywood St, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 287-7337.

Ms Lanetra Ann Wiley is licensed to practice in Tennessee (license number 24667) 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 1407335490.

Contact Information

Ms Lanetra Ann Wiley, NP
160 S Hollywood St,
Memphis, TN 38112-4801
(901) 287-7337
(901) 287-4787

Map and Direction




Provider's Profile

Full NameMs Lanetra Ann Wiley
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location160 S Hollywood St, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407335490
  • Provider Enumeration Date: 08/09/2018
  • Last Update Date: 12/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1850723685
  • Enrollment ID: I20191118000959

Medical Identifiers

Medical identifiers for Ms Lanetra Ann Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407335490NPI-NPPES
Q053901MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 24667 (Tennessee)Primary
363LP0200XNurse Practitioner - Pediatrics 902467 (Mississippi)Secondary

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. Ms Lanetra Ann Wiley allows following entities to bill medicare on her behalf.
Entity NameChrist Community Health Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982686614
PECOS PAC ID: 3870402084
Enrollment ID: O20040528000468

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. Ms Lanetra Ann 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 AddressPractice Location Address
Ms Lanetra Ann Wiley, NP
850 Poplar Ave Bldg 2,
Memphis, TN 38105-4607

Ph: (901) 287-5565		Ms Lanetra Ann Wiley, NP
160 S Hollywood St,
Memphis, TN 38112-4801

Ph: (901) 287-7337

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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