Mimi Erin Wiley, PA-C
Mimi Erin Wiley, PA-C is a Physician Assistant in Nesquehoning, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Star Community Health Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 7
- Licensed in
- PA
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
108 W Catawissa StNesquehoning, PA 18240-1501
Phone: (570) 669-9787
Fax: (570) 669-9785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence MA061405 (PA) |
|---|
Record details
| NPI number | 1285266718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 12, 2020 |
| Last updated in NPPES | February 12, 2020 |
| Certification date | February 12, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Star Community Health Inc — 58 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Nesquehoning
-
Rachel Lynn Berros, PA-C
426 W Railroad St, Nesquehoning, PA 18240-1414 · (570) 669-9150