| Mimi Erin Wiley, PA-C | |
|
108 W Catawissa St, Nesquehoning, PA 18240-1501 | |
| (570) 669-9787 | |
| (570) 669-9785 |
| Full Name | Mimi Erin Wiley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 108 W Catawissa St, Nesquehoning, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285266718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA061405 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Home Health | Hazle township, PA | Home health agency |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Carbon-schuylkill Community Hospital, Inc. | 4486562030 | 41 |
| Gsl Hospital | 8921338583 | 23 |
| Star Community Health Inc | 7618215237 | 56 |
| Entity Name | The Carbon-schuylkill Community Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194891010 PECOS PAC ID: 4486562030 Enrollment ID: O20031117000015 |
| Entity Name | St Luke's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232719 PECOS PAC ID: 0648189688 Enrollment ID: O20040601000769 |
| Entity Name | St. Luke's Quakertown Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225052616 PECOS PAC ID: 8224010350 Enrollment ID: O20040708000267 |
| Entity Name | St. Luke's Hospital -monroe Campus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609311257 PECOS PAC ID: 1355637059 Enrollment ID: O20171221000156 |
| Entity Name | Star Community Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
| Entity Name | Gsl Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073256608 PECOS PAC ID: 8921338583 Enrollment ID: O20220719000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Mimi Erin Wiley, PA-C 108 W Catawissa St, Nesquehoning, PA 18240-1501 Ph: (570) 669-9787 | Mimi Erin Wiley, PA-C 108 W Catawissa St, Nesquehoning, PA 18240-1501 Ph: (570) 669-9787 |
Rachel Lynn Berros, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 426 W Railroad St, Nesquehoning, PA 18240 Phone: 570-669-9150 Fax: 570-669-9184 |