| James Mitchell Wiley, DO | |
|
315 W 15th Street, Liberal, KS 67901 | |
| (620) 624-1651 | |
| (620) 629-2472 |
| Full Name | James Mitchell Wiley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 315 W 15th Street, Liberal, Kansas |
| 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 |
|---|---|---|---|
| 1720029069 | NPI | - | NPPES |
| 100446560A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 529621 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wagoner Community Hospital | Wagoner, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagoner Hospital Authority | 0042217531 | 19 |
| Entity Name | Emergency Physicians Of Midwest City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
| Entity Name | Wagoner Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Midwest Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
| Entity Name | Rural Wellness Fairfax Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295362564 PECOS PAC ID: 3678904752 Enrollment ID: O20200506001548 |
| Entity Name | Rural Wellness Anadarko Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538825120 PECOS PAC ID: 3274926100 Enrollment ID: O20220216002693 |
| Mailing Address | Practice Location Address |
|---|---|
| James Mitchell Wiley, DO 315 W 15th Street, Po Box 1340, Liberal, KS 67905-1340 Ph: (620) 624-1651 | James Mitchell Wiley, DO 315 W 15th Street, Liberal, KS 67901 Ph: (620) 624-1651 |
Earl James Fitzgerald, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th Street, Liberal, KS 67901 Phone: 620-624-1651 Fax: 620-629-2472 | |
Dr. Gabriel Siegel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-2739 |