Dr Seth Jordan Wimbley, DPM is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Wellspan Medical Group and 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
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 1710623236.
Healthcare Provider's Profile
| Full Name | Dr Seth Jordan Wimbley |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 3 Years |
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| Location | 4201 Saint Antoine St, Detroit, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Seth Jordan Wimbley graduated from medical school in 2022
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: I20250721002904
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspan Medical Group | 1951213115 | 2052 |
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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