| Dr Philip David Wiley, MD | |
|
1165 S Camino Del Rio, Ste 200, Durango, CO 81303-6824 | |
| (970) 247-2920 | |
| (970) 247-2923 |
| Full Name | Dr Philip David Wiley |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 38 Years |
| Location | 1165 S Camino Del Rio, Durango, Colorado |
| 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 |
|---|---|---|---|
| 1467419135 | NPI | - | NPPES |
| 01351931 | Medicaid | CO | |
| Q5374 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 35193 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Philip D Wiley Md Pc | 0840284758 | 2 |
| Entity Name | Philip D Wiley Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134310915 PECOS PAC ID: 0840284758 Enrollment ID: O20040413001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip David Wiley, MD 1165 S Camino Del Rio, Ste 200, Durango, CO 81303-6824 Ph: (970) 247-2920 | Dr Philip David Wiley, MD 1165 S Camino Del Rio, Ste 200, Durango, CO 81303-6824 Ph: (970) 247-2920 |
Dr. William Thomas Williams, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 555 Rivergate Ste B1-105, C/o Curtis Powers-ackley, Durango, CO 81301 Phone: 970-749-1157 | |
Rachel B Cain, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St, Suite 205, Durango, CO 81301 Phone: 970-385-7272 Fax: 970-385-7299 | |
Dr. Gregory Michael Schackel, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St, Suite 205, Durango, CO 81301 Phone: 970-385-7272 Fax: 970-385-7299 |