| Wiley Douglas Fowler Iii, PA-C | |
|
98 Nocatee Village Dr, Ponte Vedra, FL 32081-6152 | |
| (904) 202-4243 | |
| (904) 390-7415 |
| Full Name | Wiley Douglas Fowler Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 98 Nocatee Village Dr, Ponte Vedra, Florida |
| 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 |
|---|---|---|---|
| 1780936278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9106930 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9106930 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida First Care Inc | Orange park, FL | Home health agency |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Agewell Physicians Inc | 0244480531 | 19 |
| Mailing Address | Practice 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 |
Mr. Ian Alexander Neuhaus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10870 Us One N Unit 104, Ponte Vedra, FL 32081 Phone: 904-438-2720 | |
Ms. Emily Lynn Edwards, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10870 Us One N Unit 104, Ponte Vedra, FL 32081 Phone: 904-438-2720 | |
Haley Deegan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 638 Timber Pond Dr, Ponte Vedra, FL 32082 Phone: 904-226-6024 | |
Mr. Joshua Michael Dearth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 151 Pine Lake Dr Unit B, Ponte Vedra, FL 32081 Phone: 904-543-3677 |