| Brian Wiley, DO | |
|
111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400 | |
| (401) 729-2191 | |
| (401) 729-2517 |
| Full Name | Brian Wiley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 111 Brewster St, Pawtucket, Rhode Island |
| 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 |
|---|---|---|---|
| 1538144126 | NPI | - | NPPES |
| 007059107 | Other | RI | MEDICARE PTAN |
| 7009052 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO00534 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gilford Sound Emergency Physicians Llc | 3678833951 | 29 |
| Entity Name | Sheridan Emergency Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598748030 PECOS PAC ID: 5597665372 Enrollment ID: O20040109000169 |
| Entity Name | Gilford Sound Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760996300 PECOS PAC ID: 3678833951 Enrollment ID: O20180206000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Wiley, DO 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400 Ph: (401) 729-2191 | Brian Wiley, DO 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400 Ph: (401) 729-2191 |
John Riedel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860 Phone: 401-729-2191 Fax: 401-729-2517 | |
Michael S Siclari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2419 Fax: 401-729-2517 | |
James P O'hair, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860 Phone: 401-725-8600 Fax: 401-725-8064 | |
Laura Forman, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2191 | |
Marcia Robitaille, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860 Phone: 401-729-2191 Fax: 401-729-2517 | |
Dr. Kristin Lynch Gregg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2419 | |
Amir Bernaba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2419 Fax: 401-729-2517 |