Mr Brent Lewis Wiles, MS, CCC-SLP | |
5721 Usa Drive N, Hahn1119, Mobile, AL 36608-0002 | |
(251) 445-9378 | |
(251) 445-9377 |
Full Name | Mr Brent Lewis Wiles |
---|---|
Gender | Male |
Speciality | Qualified Speech Language Pathologist |
Experience | 12 Years |
Location | 5721 Usa Drive N, Mobile, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174985089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3665 (Alabama) | Primary |
235Z00000X | Speech-language Pathologist | SA12185 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Usa Health Physician Billing Services Llc | 9931436912 | 277 |
Provider Name | University Of South Alabama |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
Provider Name | Usa Health Physician Billing Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
Mailing Address | Practice Location Address |
---|---|
Mr Brent Lewis Wiles, MS, CCC-SLP Po Box 40480, Mobile, AL 36640-0480 Ph: (251) 434-3626 | Mr Brent Lewis Wiles, MS, CCC-SLP 5721 Usa Drive N, Hahn1119, Mobile, AL 36608-0002 Ph: (251) 445-9378 |
Kelli Jo Evans, PHD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688 Phone: 251-445-9378 Fax: 251-445-9377 | |
Reach Pediatric Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12485 Jeff Hamilton Rd, Mobile, AL 36695 Phone: 251-259-2430 | |
Rebecca Black, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 Somerby Dr, Mobile, AL 36695 Phone: 251-633-4447 Fax: 251-633-4141 | |
Kimberley Meyer Warner, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7158 Wynnridge Dr, Mobile, AL 36695 Phone: 251-634-4974 | |
Cheryl Pugh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4720 Morrison Dr, Mobile, AL 36609 Phone: 877-787-3422 | |
Rebecca Clara Eskridge, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 C East Portier Ct., Mobile, AL 36607 Phone: 251-605-1334 | |
Victoria Rhea Childs, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1504 Spring Hill Ave, Mobile, AL 36604 Phone: 251-219-3923 Fax: 251-219-3750 |