Bethany Wiley, NP is a
Pediatrics physician based in Sparks Glencoe, Maryland. Bethany Wiley is licensed to practice in Maryland (license number R244909) and her current practice location is 913 Ridgebrook Rd Ste 312, Sparks Glencoe, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 769-8801.
NPI number for Bethany Wiley is 1083580443 and her current mailing address is 913 Ridgebrook Rd Ste 312, Sparks Glencoe, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083580443.
Physician's Profile
| Full Name | Bethany Wiley |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 913 Ridgebrook Rd Ste 312, Sparks Glencoe, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083580443
- Provider Enumeration Date: 10/14/2025
- Last Update Date: 10/14/2025
Medical Identifiers
Medical identifiers for Bethany Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083580443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | R244909 (Maryland) | 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. Bethany 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 |
Bethany Wiley, NP 913 Ridgebrook Rd Ste 312, Sparks Glencoe, MD 21152-9457 Ph: (410) 769-8801 | Bethany Wiley, NP 913 Ridgebrook Rd Ste 312, Sparks Glencoe, MD 21152-9457 Ph: (410) 769-8801 |
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