Dr Seth Jordan Wimbley, DPM is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. His current practice location is
4201 Saint Antoine St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 745-3000.
Dr Seth Jordan Wimbley is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710623236.
Healthcare Provider's Profile
Full Name | Dr Seth Jordan Wimbley |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4201 Saint Antoine St, Detroit, Michigan |
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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: 1710623236
- Provider Enumeration Date: 05/08/2022
- Last Update Date: 07/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264810712
- Enrollment ID: I20220613000413
Medical Identifiers
Medical identifiers for Dr Seth Jordan Wimbley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710623236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | SC007532 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Seth Jordan Wimbley 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 |
Dr Seth Jordan Wimbley, DPM 4201 Saint Antoine St, Detroit, MI 48201-2153 Ph: (313) 745-3000 | Dr Seth Jordan Wimbley, DPM 4201 Saint Antoine St, Detroit, MI 48201-2153 Ph: (313) 745-3000 |
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