| Wiley R Kent Ii, PA | |
|
912 W Main St, Lebanon, VA 24266-3814 | |
| (276) 880-0211 | |
| (276) 880-0213 |
| Full Name | Wiley R Kent Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 912 W Main St, Lebanon, Virginia |
| 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 |
|---|---|---|---|
| 1205900974 | NPI | - | NPPES |
| P01658816 | Other | VA | RAILROAD MEDICARE |
| Q014539 | Medicaid | TN | |
| 1205900974 | Medicaid | VA | |
| P00606362 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002132 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell County Hospital | Lebanon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Acute Care Services Llc | 2668722216 | 4 |
| Entity Name | Premier Acute Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174021752 PECOS PAC ID: 2668722216 Enrollment ID: O20180904000187 |
| Entity Name | Town Square Medical, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528641354 PECOS PAC ID: 4183024003 Enrollment ID: O20220118002755 |
| Entity Name | Kent Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043089147 PECOS PAC ID: 5597200907 Enrollment ID: O20240710001847 |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley R Kent Ii, PA 912 W Main St, Lebanon, VA 24266-3814 Ph: (276) 880-0211 | Wiley R Kent Ii, PA 912 W Main St, Lebanon, VA 24266-3814 Ph: (276) 880-0211 |
Mrs. Jessica L. Pionk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll St Ste 2, Lebanon, VA 24266 Phone: 276-883-8086 |
Jenny M Pruitt, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 58 Carroll St, Room 2037, Lebanon, VA 24266 Phone: 276-883-8062 Fax: 276-883-8064 |
Kelsey Wise Mccoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000 |
Mrs. Rachel Gilmer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 |