| Mr Gary Dewayne Wiley Jr, PA-C | |
|
4011 Via Marina Apt 107, Marina Del Rey, CA 90292-8201 | |
| (360) 441-4248 | |
| Not Available |
| Full Name | Mr Gary Dewayne Wiley Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 4011 Via Marina Apt 107, Marina Del Rey, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427885656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA65066 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athena Medical Group | 8921358706 | 42 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary Dewayne Wiley Jr, PA-C 4011 Via Marina Apt 107, Marina Del Rey, CA 90292-8201 Ph: (360) 441-4248 | Mr Gary Dewayne Wiley Jr, PA-C 4011 Via Marina Apt 107, Marina Del Rey, CA 90292-8201 Ph: (360) 441-4248 |
Chase Krivashei, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911 Fax: 310-577-5694 | |
Kyrllos Atef Rezekalla, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3221 Carter Ave, Marina Del Rey, CA 90292 Phone: 310-430-9795 | |
Brenda V Gomez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13160 Mindanao Way # 20290292, Marina Del Rey, CA 90292 Phone: 310-574-2103 | |
Carla N Crespo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4640 Admiralty Way Ste 1000, Marina Del Rey, CA 90292 Phone: 310-300-1779 Fax: 310-494-0509 | |
Samantha Marcoly, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-448-5200 | |
Marina Vergilis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13326 Maxella Ave, Unit 3, Marina Del Rey, CA 90292 Phone: 310-593-4119 | |
Ms. Layla Nina Sotoodeh, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292 Phone: 310-574-0400 |