Nicole Wiley, DO - Medicare Family Medicine in South Charleston, WV

Nicole Wiley, DO is a medicare enrolled "Family Medicine" physician in South Charleston, West Virginia. Her current practice location is 401 Division St, Suite 205, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 414-4875.

Nicole Wiley is licensed to practice in West Virginia (license number 2204) 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 1780800110.

Contact Information

Nicole Wiley, DO
401 Division St, Suite 205,
South Charleston, WV 25309
(304) 414-4875
(304) 414-4876

Map and Direction




Physician's Profile

Full NameNicole Wiley
GenderFemale
SpecialityFamily Medicine
Location401 Division St, South Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780800110
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 06/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4688744790
  • Enrollment ID: I20181026000861

Medical Identifiers

Medical identifiers for Nicole Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780800110NPI-NPPES
B441OtherWVMEDICARE GROUP NUMBER
3810008840OtherWVGROUP MEDICAID
3811012117MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2204 (West Virginia)Primary

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. Nicole 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
Nicole Wiley, DO
1430 Nottingham Rd,
Charleston, WV 25314-2434

Ph: (304) 541-7177
Nicole Wiley, DO
401 Division St, Suite 205,
South Charleston, WV 25309

Ph: (304) 414-4875

Reviews and Comments


Family Medicine Doctors in South Charleston, WV

Robert Romaine, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-3601    
Adam J Breinig, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1563 Sand Plant Rd, South Charleston, WV 25309
Phone: 304-756-1500    Fax: 304-756-1548
Leela K Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 Division St, Suite 306, South Charleston, WV 25309
Phone: 304-766-4300    
Dr. Melissa Rena Kijewski, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1563 Sand Plant Rd, South Charleston, WV 25309
Phone: 304-756-1500    Fax: 304-756-1548
Dr. Chad C Turner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Chestnut St, South Charleston, WV 25309
Phone: 304-768-8500    Fax: 304-768-8530
Dr. Julie Ann Detemple, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 509 2nd Ave, South Charleston, WV 25303
Phone: 304-720-3555    Fax: 304-720-3556
Howard Wesley Lafferty Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 509 2nd Ave, South Charleston, WV 25303
Phone: 304-720-3555    Fax: 304-720-2556

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.