Alyssa Wilson, in Fontana, CA - Medicare Nurse Anesthetist, Certified Registered

Alyssa Wilson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fontana, California. Her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Alyssa Wilson is licensed to practice in Nevada (license number 810627) 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 1033822903.

Contact Information

	Alyssa Wilson,
	9961 Sierra Ave, Fontana, CA 92335-6720
	(000) 000-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Wilson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033822903
Provider Enumeration Date: 01/05/2023
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4688116957
Enrollment ID: I20240603002056

Medical Identifiers

Medical identifiers for Alyssa Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033822903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	810627 (Nevada)	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. Alyssa Wilson allows following entities to bill medicare on her behalf.

Entity Name	Carson Tahoe Physician Hospital Organization, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063169829 PECOS PAC ID: 8628465721 Enrollment ID: O20220419002777

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. Alyssa Wilson 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
Alyssa Wilson, 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: () -	Alyssa Wilson, 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (000) 000-0000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fontana, CA

Kadette Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Kenneth B Lake, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Ronald D Stephens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Brendan Williams, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15218 Summit Ave Ste 300-130, Fontana, CA 92336 Phone: 909-255-2661
Hisham Maassarani, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-302-4886
Edith M Marca-solomon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Alyssa Wilson, - Medicare Nurse Anesthetist, Certified Registered in Fontana, CA