Dr Jasmine Wiley, MD - Medicare Family Practice in Shawano, WI

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Dr Jasmine Wiley, MD is a medicare enrolled "Family Medicine" physician in Shawano, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Incorporated, Thedacare Medical Center - Shawano, Inc., Green Bay Emergency Medicine Services Sc and her current practice location is 100 County Road B, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 524-2161.

Dr Jasmine Wiley is licensed to practice in Wisconsin (license number 64844-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568889020.

Contact Information

Dr Jasmine Wiley, MD
100 County Road B,
Shawano, WI 54166-7072
(715) 524-2161
(715) 524-8164

Map and Direction




Physician's Profile

Full NameDr Jasmine Wiley
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location100 County Road B, Shawano, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jasmine Wiley attended and graduated from University Of Wisconsin School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1568889020
  • Provider Enumeration Date: 03/23/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739481268
  • Enrollment ID: I20170418000903

Medical Identifiers

Medical identifiers for Dr Jasmine Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568889020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 64844-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHome health agency
Thedacare At HomeAppleton, WIHospice
Thedacare Medical Center - ShawanoShawano, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Bellin Memorial HospitalGreen bay, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887533
Thedacare Medical Center - Shawano, Inc.589060583633
Green Bay Emergency Medicine Services Sc933517008315

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. Dr Jasmine Wiley allows following entities to bill medicare on her behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameGreen Bay Emergency Medicine Services Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366424111
PECOS PAC ID: 9335170083
Enrollment ID: O20050823000663

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. Dr Jasmine 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 AddressPractice Location Address
Dr Jasmine Wiley, MD
122 E College Ave Ste 250,
Appleton, WI 54911-5794

Ph: (920) 996-3264		Dr Jasmine Wiley, MD
100 County Road B,
Shawano, WI 54166-7072

Ph: (715) 524-2161

Reviews and Comments


Family Medicine Doctors in Shawano, WI

Dr. Mindy Maria Frimodig, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Dr. Richard Dennis Sarnwick, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1346 E Green Bay St, Shawano, WI 54166
Phone: 715-526-8800    
Gregory Thatcher, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Dr. John Edward Laabs, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Tod C Lewis, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1346 E Green Bay St, Shawano, WI 54166
Phone: 715-526-6244    
Alisha Frances Fahley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Cornelius W Hyzer Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-526-3461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.