Laretta Moniek Wiley, MSN, RN, FNP in Matteson, IL

Laretta Moniek Wiley, MSN, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Matteson, Illinois. Her current practice location is 21224 Gray Hawk Dr, Matteson, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 814-3885.

Laretta Moniek Wiley is licensed to practice in Illinois (license number 209018174) 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 1952885949.

Contact Information

	Laretta Moniek Wiley, MSN, RN, FNP
	21224 Gray Hawk Dr, Matteson, IL 60443-3314
	(773) 814-3885
	Not Available

Map and Direction

Provider's Profile

Full Name	Laretta Moniek Wiley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21224 Gray Hawk Dr, Matteson, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952885949
Provider Enumeration Date: 09/17/2018
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2264772136
Enrollment ID: I20190313001355

Medical Identifiers

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

Identifier	Type	State	Issuer
1952885949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209018174 (Illinois)	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. Laretta Moniek Wiley allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189

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. Laretta Moniek 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
Laretta Moniek Wiley, MSN, RN, FNP 21224 Gray Hawk Dr, Matteson, IL 60443-3314 Ph: (773) 814-3885	Laretta Moniek Wiley, MSN, RN, FNP 21224 Gray Hawk Dr, Matteson, IL 60443-3314 Ph: (773) 814-3885

Reviews and Comments

Nurse Practitioner Nurses in Matteson, IL

Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Town Center Rd, Matteson, IL 60443 Phone: 708-852-5179 Fax: 708-481-2010
Mrs. Ukachi O. Nwankpa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Warwick Dr, Matteson, IL 60443 Phone: 773-407-7814 Fax: 708-980-2953
Ann M Waldron, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-679-2370
Chanel Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Timberlane Rd, Matteson, IL 60443 Phone: 708-654-8999
Carmella Jackson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 916 School Ave, Matteson, IL 60443 Phone: 773-941-1587
Danebell O Ehis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6006 Colgate Ln, Matteson, IL 60443 Phone: 708-323-7866
Mrs. Nicole I O'grady, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Town Center Rd # 500, Matteson, IL 60443 Phone: 779-236-4094

Laretta Moniek Wiley, MSN, RN, FNP - Medicare Nurse Practitioner in Matteson, IL