Benjamin W Wiley, MD in Hixson, TN

Benjamin W Wiley, MD is a medicare enrolled "Pediatrics" physician in Hixson, Tennessee. His current practice location is 1039 Executive Dr Ste 101, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 874-0125.

Benjamin W Wiley is licensed to practice in Tennessee (license number 35989) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780649780.

Contact Information

	Benjamin W Wiley, MD
	1039 Executive Dr Ste 101, Hixson, TN 37343-7900
	(423) 874-0125
	(423) 874-0154

Map and Direction

Physician's Profile

Full Name	Benjamin W Wiley
Gender	Male
Speciality	Pediatrics
Location	1039 Executive Dr Ste 101, Hixson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780649780
Provider Enumeration Date: 04/20/2006
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9234116245
Enrollment ID: I20040707000445

Medical Identifiers

Medical identifiers for Benjamin W Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780649780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35989 (Tennessee)	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. Benjamin W Wiley allows following entities to bill medicare on his behalf.

Entity Name	Galen Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346250057 PECOS PAC ID: 2668377391 Enrollment ID: O20031204001027

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. Benjamin W 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
Benjamin W Wiley, MD 4976 Alpha Ln, Hixson, TN 37343-5470 Ph: (423) 497-5355	Benjamin W Wiley, MD 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 Ph: (423) 874-0125

Reviews and Comments

Pediatrics Doctors in Hixson, TN

Emily Kate Cornelius Sanders, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591
Dr. David Neall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 Fax: 423-877-4225
Laura T Truelove, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1039 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-874-0125 Fax: 423-874-0154
Dr. Kathryn Dodd Shumate, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 Fax: 423-877-4225
Dr. Becky S Mcmahan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 Fax: 423-877-4225
Dr. Kathleen Richey Demars, Pediatrics Medicare: Medicare Enrolled Practice Location: 1039 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-874-0125 Fax: 423-874-0154
Timothy P Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1039 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-874-0125 Fax: 423-874-0154

Benjamin W Wiley, MD - Medicare Pediatrics in Hixson, TN