Jeffery Dale Wyatt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winnfield, Louisiana. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Clhg-winn, Llc and his current practice location is
301 W Boundary Ave, Winnfield, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 648-3072.
Jeffery Dale Wyatt is licensed to practice in Louisiana (license number RN075781 APO4189) 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 1134271125.
Provider's Profile
Full Name | Jeffery Dale Wyatt |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 22 Years |
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Location | 301 W Boundary Ave, Winnfield, Louisiana |
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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:
- Jeffery Dale Wyatt graduated from nursing school in 2002
NPI Data:
- NPI Number: 1134271125
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032101860
- Enrollment ID: I20040401000589
Medical Identifiers
Medical identifiers for Jeffery Dale Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134271125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RN075781 APO4189 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Clhg-winn, Llc | 6002198736 | 14 |
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. Jeffery Dale Wyatt allows following entities to bill medicare on his behalf.
Entity Name | Jackson Parish Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093793408 PECOS PAC ID: 9335048081 Enrollment ID: O20040102000169 |
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Entity Name | Clhg-winn, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629391628 PECOS PAC ID: 6002198736 Enrollment ID: O20190103000659 |
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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. Jeffery Dale Wyatt 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 |
Jeffery Dale Wyatt, CRNA 345 A J Wyatt Loop Rd, Jonesboro, LA 71251-7503 Ph: (318) 259-1242 | Jeffery Dale Wyatt, CRNA 301 W Boundary Ave, Winnfield, LA 71483-3427 Ph: (318) 648-3072 |
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