Jeffery C Wilt, CRNA | |
6501 N 19th Ave, Phoenix, AZ 85015-1646 | |
(602) 795-6020 | |
Not Available |
Full Name | Jeffery C Wilt |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 6501 N 19th Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366493488 | NPI | - | NPPES |
AN1307 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R76080 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 300934 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Anesthesia Partners And Management Llc | 9931429198 | 129 |
Entity Name | Coastal Anesthesia Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609813179 PECOS PAC ID: 1850295650 Enrollment ID: O20031124000145 |
Entity Name | Inlet Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700031002 PECOS PAC ID: 8729143847 Enrollment ID: O20090224000309 |
Entity Name | Georgetown Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104156892 PECOS PAC ID: 7810031242 Enrollment ID: O20100223000196 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Entity Name | Market Common Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598379281 PECOS PAC ID: 6800201427 Enrollment ID: O20210212000530 |
Mailing Address | Practice Location Address |
---|---|
Jeffery C Wilt, CRNA Po Box 1792, Columbia, SC 29202-1792 Ph: () - | Jeffery C Wilt, CRNA 6501 N 19th Ave, Phoenix, AZ 85015-1646 Ph: (602) 795-6020 |
Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988 | |
Leila Mclawhorn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039 |