Wesley D Wylie, MD - Medicare Family Practice in Provo, UT

Wesley D Wylie, MD is a medicare enrolled "Family Medicine" physician in Provo, Utah. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Crawford Hospital District and his current practice location is 280 River Park Dr, Suite 350, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 380-0432.

Wesley D Wylie is licensed to practice in Idaho (license number M-12076) 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 1548215197.

Contact Information

Wesley D Wylie, MD
280 River Park Dr, Suite 350,
Provo, UT 84604-5764
(801) 380-0432
(801) 802-0108



Physician's Profile

Full NameWesley D Wylie
GenderMale
SpecialityFamily Practice
Experience35 Years
Location280 River Park Dr, Provo, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Wesley D Wylie graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1548215197
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 09/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416005491
  • Enrollment ID: I20220614000695

Medical Identifiers

Medical identifiers for Wesley D Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548215197NPI-NPPES
11032MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M-12076 (Idaho)Primary
207Q00000XFamily Medicine 187190-1205 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crawford Memorial HospitalRobinson, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crawford Hospital District771989807160

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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. Wesley D Wylie allows following entities to bill medicare on his behalf.
Entity NameCrawford Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861423287
PECOS PAC ID: 7719898071
Enrollment ID: O20040205000950

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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. Wesley D Wylie 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 AddressPractice Location Address
Wesley D Wylie, MD
1027 Oakridge Rd S,
Park City, UT 84098-5615

Ph: (801) 380-0432
Wesley D Wylie, MD
280 River Park Dr, Suite 350,
Provo, UT 84604-5764

Ph: (801) 380-0432

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Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601
Phone: 801-852-1443    
Janee Namealoha Sells, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604
Phone: 385-375-8724    
Dr. Marlin L Christianson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 West 940 North, Provo, UT 84604
Phone: 801-357-7930    Fax: 801-357-7014
Tyson Schwab,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604
Phone: 801-357-1770    
Mr. Gregory Lawrence Nielsen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604
Phone: 801-422-2771    Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 W 940 N, Provo, UT 84604
Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

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