Mrs Courtney Wiley, OTR/L is a medicare enrolled "Occupational Therapist" provider in Jerome, Idaho. Her current practice location is
113 E Avenue F, Jerome, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 324-2443.
Mrs Courtney Wiley is licensed to practice in Idaho (license number OT-2596) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316679038.
Healthcare Provider's Profile
| Full Name | Mrs Courtney Wiley |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 113 E Avenue F, Jerome, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316679038
- Provider Enumeration Date: 06/30/2022
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769868884
- Enrollment ID: I20241203001038
Medical Identifiers
Medical identifiers for Mrs Courtney Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316679038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | OT-2596 (Idaho) | 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. Mrs Courtney Wiley allows following entities to bill medicare on her behalf.
| Provider Name | Valley Therapy Services, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639343270 PECOS PAC ID: 2567528557 Enrollment ID: O20120716000380 |
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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. Mrs Courtney 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 Address | Practice Location Address |
Mrs Courtney Wiley, OTR/L 474 S 100 W, Jerome, ID 83338-6089 Ph: () - | Mrs Courtney Wiley, OTR/L 113 E Avenue F, Jerome, ID 83338-3132 Ph: (208) 324-2443 |
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