Jessica Nichole Wiley, LPC in Waynesboro, GA - Medicare Counselor Provider

Jessica Nichole Wiley, LPC is a medicare enrolled "Counselor - Professional" provider in Waynesboro, Georgia. Her current practice location is 352 Southside Dr, Waynesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 790-4440.

Jessica Nichole Wiley is licensed to practice in Georgia (license number LPC012567) 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 1235644139.

Contact Information

	Jessica Nichole Wiley, LPC
	352 Southside Dr, Waynesboro, GA 30830-4561
	(706) 790-4440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Nichole Wiley
Gender	Female
Speciality	Counselor - Professional
Location	352 Southside Dr, Waynesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235644139
Provider Enumeration Date: 12/13/2017
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 7618404492
Enrollment ID: I20241217003898

Medical Identifiers

Medical identifiers for Jessica Nichole Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235644139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC012567 (Georgia)	Secondary
101YP2500X	Counselor - Professional	LPC012567 (Georgia)	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. Jessica Nichole Wiley allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Improvement Project, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665

Entity Name	Inpatient Psychology Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497383152 PECOS PAC ID: 2961825872 Enrollment ID: O20200710002283

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. Jessica Nichole 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
Jessica Nichole Wiley, LPC 3206 W Wimbledon Dr, Augusta, GA 30909-2732 Ph: () -	Jessica Nichole Wiley, LPC 352 Southside Dr, Waynesboro, GA 30830-4561 Ph: (706) 790-4440

Reviews and Comments

Counselor in Waynesboro, GA

Susan Heather Cowart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 292 W 4th St, Waynesboro, GA 30830 Phone: 706-437-6863
Laconya Manuel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 292 W 4th St, Waynesboro, GA 30830 Phone: 706-437-6863 Fax: 706-437-6860
Lynda N Bailey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 292 W 4th St, Waynesboro, GA 30830 Phone: 706-437-6863
James Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 E 6th St, Waynesboro, GA 30830 Phone: 704-437-4052 Fax: 706-437-4053
Amber Marie Huddleston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Waynesboro, GA 30830 Phone: 706-871-1884
Connie Golding, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 W. Sixth Street, Waynesboro, GA 30830 Phone: 706-437-6869 Fax: 478-437-6867

Jessica Nichole Wiley, LPC - Medicare Counselor in Waynesboro, GA