Dr Melora Wiley, MD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" physician in Jackson, Mississippi. Her current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 984-5239.
Dr Melora Wiley is licensed to practice in Mississippi (license number 27-131) 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 1942646161.
Physician's Profile
| Full Name | Dr Melora Wiley |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 2500 N State St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942646161
- Provider Enumeration Date: 05/14/2013
- Last Update Date: 09/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294168910
- Enrollment ID: I20191210001818
Medical Identifiers
Medical identifiers for Dr Melora Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942646161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 27131 (Mississippi) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 27-131 (Mississippi) | 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. Dr Melora Wiley allows following entities to bill medicare on her behalf.
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
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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 Melora 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 |
Dr Melora Wiley, MD 2500 N State St, Cbo-suite 4200, Jackson, MS 39216-4500 Ph: (601) 984-9697 | Dr Melora Wiley, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5239 |
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