Jackson Wild, CRNA in Boston, MA - Medicare Certified Registered Nurse Anesthetist (crna)

Jackson Wild, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boston, Massachusetts. He went to Virginia Commonwealth University, School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Dha Endoscopy Llc, Winchester Anesthesia Associates, Inc and his current practice location is 75 Francis St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 732-5500.

Jackson Wild is licensed to practice in Massachusetts (license number 112750) 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 1952847162.

Contact Information

	Jackson Wild, CRNA
	75 Francis St, Boston, MA 02115-6110
	(617) 732-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackson Wild
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	75 Francis St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jackson Wild attended and graduated from Virginia Commonwealth University, School Of Medicine in 2017

NPI Data:

NPI Number: 1952847162
Provider Enumeration Date: 01/11/2017
Last Update Date: 01/11/2017

Medicare PECOS Information:

PECOS PAC ID: 3577840248
Enrollment ID: I20170505001264

Medical Identifiers

Medical identifiers for Jackson Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952847162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	112750 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Winchester Hospital	Winchester, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dha Endoscopy Llc	4082614979	22
Winchester Anesthesia Associates, Inc	7315977196	41

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. Jackson Wild allows following entities to bill medicare on his behalf.

Entity Name	Winchester Anesthesia Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972626117 PECOS PAC ID: 7315977196 Enrollment ID: O20050822000530

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

Entity Name	Gbaa Holdings Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790299592 PECOS PAC ID: 4789944646 Enrollment ID: O20180214001714

Entity Name	Dha Endoscopy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851921555 PECOS PAC ID: 4082614979 Enrollment ID: O20201201000565

Entity Name	Winchester Anesthesia Associates 2 Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427599588 PECOS PAC ID: 2264848977 Enrollment ID: O20210304000163

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. Jackson Wild 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
Jackson Wild, CRNA 75 Francis St, Boston, MA 02115-6110 Ph: () -	Jackson Wild, CRNA 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-5500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boston, MA

Mr. John Crawford Welch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115 Phone: 857-218-5770
Sophia N. Townsend, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966
Lorrie-jeanne Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215 Phone: 617-667-3110 Fax: 617-667-5013
Colleen Mcartor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111 Phone: 617-636-5000
Ms. Ann Marie Nichols-stout, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8995
Susan Maher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114 Phone: 617-726-3030
Amy T. Moor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966

Jackson Wild, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boston, MA