Wiley Douglas Fowler Iii, PA-C - Medicare Physician Assistant in Ponte Vedra, FL

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Wiley Douglas Fowler Iii, PA-C is a medicare enrolled "Physician Assistant" in Ponte Vedra, Florida. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 98 Nocatee Village Dr, Ponte Vedra, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 202-4243.

Wiley Douglas Fowler Iii is licensed to practice in Florida (license number PA9106930) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780936278.

Contact Information

Wiley Douglas Fowler Iii, PA-C
98 Nocatee Village Dr,
Ponte Vedra, FL 32081-6152
(904) 202-4243
(904) 390-7415

Map and Direction




Provider's Profile

Full NameWiley Douglas Fowler Iii
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location98 Nocatee Village Dr, Ponte Vedra, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Wiley Douglas Fowler Iii graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1780936278
  • Provider Enumeration Date: 10/08/2012
  • Last Update Date: 12/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3476704743
  • Enrollment ID: I20121114000118

Medical Identifiers

Medical identifiers for Wiley Douglas Fowler Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780936278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA9106930 (Florida)Secondary
363A00000XPhysician Assistant PA9106930 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brooks Rehabilitation Home HealthJacksonville, FLHome health agency
Baptist Home Health Care By BayadaJacksonville, FLHome health agency
Baptist Medical Center JacksonvilleJacksonville, FLHospital
Baptist Medical Center - BeachesJacksonville beach, FLHospital

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. Wiley Douglas Fowler Iii allows following entities to bill medicare on his behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248
Entity NameBaptist Agewell Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306107099
PECOS PAC ID: 0244480531
Enrollment ID: O20121023000126

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. Wiley Douglas Fowler Iii 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
Wiley Douglas Fowler Iii, PA-C
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-2092		Wiley Douglas Fowler Iii, PA-C
98 Nocatee Village Dr,
Ponte Vedra, FL 32081-6152

Ph: (904) 202-4243

Reviews and Comments


Physician Assistant Nurses in Ponte Vedra, FL

Mr. Ian Alexander Neuhaus, PA-C
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Practice Location: 10870 Us One N Unit 104, Ponte Vedra, FL 32081
Phone: 904-438-2720    
Mr. Joshua Michael Dearth, PA-C
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Practice Location: 151 Pine Lake Dr Unit B, Ponte Vedra, FL 32081
Phone: 904-543-3677    

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.