Wendy Wiley, PA is a medicare enrolled "Physician Assistant - Medical" in Occidental, California. Her current practice location is
3802 Main St, Occidental, California. You can reach out to her office (for appointments etc.) via phone at
(707) 874-2444.
Wendy Wiley is licensed to practice in California (license number PA11243) 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 1720192487.
Provider's Profile
Full Name | Wendy Wiley |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 3802 Main St, Occidental, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720192487
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 06/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 6406840859
- Enrollment ID: I20130506000264
Medical Identifiers
Medical identifiers for Wendy Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720192487 | NPI | - | NPPES |
PA11243 | Other | CA | STATE LICENSE NUMBER |
1598768962 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA11243 (California) | Primary |
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. Wendy 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 |
Wendy Wiley, PA Po Box 1449, Guerneville, CA 95446-1449 Ph: (707) 869-5977 | Wendy Wiley, PA 3802 Main St, Occidental, CA 95465 Ph: (707) 874-2444 |
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