Kelcy Wiley, NP-C in Denton, MD - Medicare Nurse Practitioner

Kelcy Wiley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Denton, Maryland. Her current practice location is 303 Sharp Rd, Denton, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 463-9418.

Kelcy Wiley is licensed to practice in Maryland (license number R182450) 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 1508246695.

Contact Information

	Kelcy Wiley, NP-C
	303 Sharp Rd, Denton, MD 21629-1481
	(410) 463-9418
	(833) 914-0408

Map and Direction

Provider's Profile

Full Name	Kelcy Wiley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	303 Sharp Rd, Denton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508246695
Provider Enumeration Date: 06/03/2015
Last Update Date: 04/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2860795804
Enrollment ID: I20190404002493

Medical Identifiers

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

Identifier	Type	State	Issuer
1508246695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP151191 (Maine)	Secondary
363LF0000X	Nurse Practitioner - Family	R182450 (Maryland)	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. Kelcy Wiley allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

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. Kelcy 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
Kelcy Wiley, NP-C 303 Sharp Rd, Denton, MD 21629-1481 Ph: (410) 463-9418	Kelcy Wiley, NP-C 303 Sharp Rd, Denton, MD 21629-1481 Ph: (410) 463-9418

Reviews and Comments

Nurse Practitioner Nurses in Denton, MD

Mrs. Dawn Pamela Donohue, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 836 S 5th Ave, Denton, MD 21629 Phone: 410-479-5900 Fax: 410-479-5901
Ms. Dara Karmel Winfield, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 S 5th Ave, Denton, MD 21629 Phone: 410-479-2650 Fax: 833-908-2283
Doris Tawiah, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Denton Plz, Denton, MD 21629 Phone: 443-606-2300
Stephanie Jeanne Bernstein, RN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23158 Deer Run Ct, Denton, MD 21629 Phone: 410-739-0179
Binta Bojang, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 S 5th Ave, Denton, MD 21629 Phone: 410-479-2650 Fax: 833-908-2283
Linda Simmons Hallowell, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Sunnyside Ave, Denton, MD 21629 Phone: 410-479-3800 Fax: 410-479-0052
Bernadette Morrissey Wood, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Denton Plz, Denton, MD 21629 Phone: 443-606-2300

Kelcy Wiley, NP-C - Medicare Nurse Practitioner in Denton, MD