Mr Charles Allen Wiley, ARNP - Medicare Nurse Practitioner in Tukwila, WA

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Mr Charles Allen Wiley, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Tukwila, Washington. His current practice location is 12400 E Marginal Way S, Tukwila, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 901-8801.

Mr Charles Allen Wiley is licensed to practice in Washington (license number AP60113600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134452311.

Contact Information

Mr Charles Allen Wiley, ARNP
12400 E Marginal Way S,
Tukwila, WA 98168-2559
(206) 901-8801
Not Available

Map and Direction




Provider's Profile

Full NameMr Charles Allen Wiley
GenderMale
SpecialityNurse Practitioner - Family
Location12400 E Marginal Way S, Tukwila, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134452311
  • Provider Enumeration Date: 09/06/2009
  • Last Update Date: 09/06/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9638214935
  • Enrollment ID: I20100310000723

Medical Identifiers

Medical identifiers for Mr Charles Allen Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134452311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP60113600 (Washington)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. Mr Charles Allen Wiley allows following entities to bill medicare on his behalf.
Entity NameThe Association Of University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023041159
PECOS PAC ID: 0446162697
Enrollment ID: O20031105000244
Entity NameHarborview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053359729
PECOS PAC ID: 3971404716
Enrollment ID: O20040115000760
Entity NameOverlake Medical Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801828421
PECOS PAC ID: 7012808827
Enrollment ID: O20040322001533

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. Mr Charles Allen 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
Mr Charles Allen Wiley, ARNP
12400 E Marginal Way S,
Tukwila, WA 98168-2559

Ph: (206) 901-8801		Mr Charles Allen Wiley, ARNP
12400 E Marginal Way S,
Tukwila, WA 98168-2559

Ph: (206) 901-8801

Reviews and Comments


Nurse Practitioner Nurses in Tukwila, WA

Ms. Jennifer T Hardgrove, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188
Phone: 206-466-5410    Fax: 206-721-1287
Lauren Buckham, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 13030 Military Rd S Ste 200, Tukwila, WA 98168
Phone: 206-439-3289    
Dr. Tofik Sergaga Shkrea, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12844 Military Rd S, Tukwila, WA 98168
Phone: 206-372-3784    
Cindy Bello-utu, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7100 Fort Dent Way Ste 220, Tukwila, WA 98188
Phone: 425-640-7009    Fax: 425-640-9600
Diane E Walker, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13030 Military Rd S, Suite # 210, Tukwila, WA 98168
Phone: 206-242-6500    Fax: 206-246-7946
Audrey L Cavins-ezell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16000 Christensen Rd Ste 200, Tukwila, WA 98188
Phone: 833-719-0886    

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.