Dr John Tyler Wilson Iv, CRNA, PHD in Fort Bragg, NC - Medicare Nurse Anesthetist, Certified Registered

Dr John Tyler Wilson Iv, CRNA, PHD is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Bragg, North Carolina. His current practice location is Womack Army Medical Center, Fort Bragg, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-6286.

Dr John Tyler Wilson Iv is licensed to practice in North Carolina (license number 072006) 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 1508833146.

Contact Information

	Dr John Tyler Wilson Iv, CRNA, PHD
	Womack Army Medical Center, Fort Bragg, NC 28310-0001
	(910) 907-6286
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr John Tyler Wilson Iv
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	Womack Army Medical Center, Fort Bragg, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508833146
Provider Enumeration Date: 03/02/2006
Last Update Date: 03/24/2017

Medicare PECOS Information:

PECOS PAC ID: 4082614425
Enrollment ID: I20070108000502

Medical Identifiers

Medical identifiers for Dr John Tyler Wilson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508833146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	072006 (North Carolina)	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. Dr John Tyler Wilson Iv allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Columbus Regional Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376537555 PECOS PAC ID: 2961312228 Enrollment ID: O20040823001463

Entity Name	Lexington Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417958331 PECOS PAC ID: 3173574233 Enrollment ID: O20050207000038

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 John Tyler Wilson Iv 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 John Tyler Wilson Iv, CRNA, PHD 58 Willowcroft Ct, Dunn, NC 28334-6278 Ph: (808) 295-6256	Dr John Tyler Wilson Iv, CRNA, PHD Womack Army Medical Center, Fort Bragg, NC 28310-0001 Ph: (910) 907-6286

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Bragg, NC

Mr. Richard Phillip Kirschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-7818
Leland Bradley Morgans, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-8034
Jeffrey Deen Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069
Ms. Katrina Lynette Cheek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-970-6323
Thais Rodriguez Fletcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 254-319-4654
Allison Paige Martin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 336-529-0348
Stephanie Martinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Womack Army Medical Ctr, Department Of Anesthesia, Fort Bragg, NC 28310 Phone: 910-906-6778

Dr John Tyler Wilson Iv, CRNA, PHD - Medicare Nurse Anesthetist, Certified Registered in Fort Bragg, NC