Glen Wiley, APRN, FNP-C in Upland, CA - Medicare Nurse Practitioner

Glen Wiley, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Upland, California. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Urgent Care Associates Of Texas Pllc and his current practice location is 1647 W Ponderosa Way, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 697-6769.

Glen Wiley is licensed to practice in Texas (license number 1031197) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1154905982.

Contact Information

	Glen Wiley, APRN, FNP-C
	1647 W Ponderosa Way, Upland, CA 91784-7454
	(909) 697-6769
	Not Available

Map and Direction

Provider's Profile

Full Name	Glen Wiley
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1647 W Ponderosa Way, Upland, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glen Wiley graduated from nursing school in 2019

NPI Data:

NPI Number: 1154905982
Provider Enumeration Date: 05/07/2021
Last Update Date: 05/07/2021

Medicare PECOS Information:

PECOS PAC ID: 1052715349
Enrollment ID: I20210809002888

Medical Identifiers

Medical identifiers for Glen Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154905982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1031197 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Urgent Care Associates Of Texas Pllc	1355665795	17

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. Glen Wiley allows following entities to bill medicare on his behalf.

Entity Name	Woodlands Lone Star Emergency Physicians Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679994941 PECOS PAC ID: 5294057444 Enrollment ID: O20141125002147

Entity Name	The Urgent Care Associates Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235539933 PECOS PAC ID: 1355665795 Enrollment ID: O20150113002159

Entity Name	Riverside-san Bernardino County Indian Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174676670 PECOS PAC ID: 4789867805 Enrollment ID: O20150508001121

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. Glen 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
Glen Wiley, APRN, FNP-C 1647 W Ponderosa Way, Upland, CA 91784-7454 Ph: (909) 697-6769	Glen Wiley, APRN, FNP-C 1647 W Ponderosa Way, Upland, CA 91784-7454 Ph: (909) 697-6769

Reviews and Comments

Nurse Practitioner Nurses in Upland, CA

Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977
Madonna Zand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030
Nicole Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 W 11th St, Upland, CA 91786 Phone: 909-244-6177

Glen Wiley, APRN, FNP-C - Medicare Nurse Practitioner in Upland, CA