Mrs Courtney Wiley, OTR/L is a
Occupational Therapist based in Jerome, Idaho. Mrs Courtney Wiley is licensed to practice in Idaho (license number OT-2596) and her current practice location is
113 E Avenue F, Jerome, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 324-2443.
NPI number for Mrs Courtney Wiley is 1316679038 and her current mailing address is 474 S 100 W, Jerome, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316679038.
Healthcare Provider's Profile
| Full Name | Mrs Courtney Wiley |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 113 E Avenue F, Jerome, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316679038
- Provider Enumeration Date: 06/30/2022
- Last Update Date: 06/30/2022
Medical Identifiers
Medical identifiers for Mrs Courtney Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316679038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT-2596 (Idaho) | 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. Mrs Courtney Wiley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Courtney Wiley, OTR/L
474 S 100 W,
Jerome, ID 83338-6089
Ph: () - | Mrs Courtney Wiley, OTR/L
113 E Avenue F,
Jerome, ID 83338-3132
Ph: (208) 324-2443 |
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