Mrs Jessica Tompkins Wieduwilt, CRNA in Oklahoma City, OK - Medicare Nurse Anesthetist, Certified Registered

Mrs Jessica Tompkins Wieduwilt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oklahoma City, Oklahoma. Her current practice location is 920 Stanton L Young Blvd, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 271-4351.

Mrs Jessica Tompkins Wieduwilt is licensed to practice in Oklahoma (license number 202035) 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 1558699090.

Contact Information

	Mrs Jessica Tompkins Wieduwilt, CRNA
	920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036
	(405) 271-4351
	(405) 271-8695

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Tompkins Wieduwilt
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	920 Stanton L Young Blvd, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558699090
Provider Enumeration Date: 11/20/2009
Last Update Date: 01/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6406980630
Enrollment ID: I20100810000697

Medical Identifiers

Medical identifiers for Mrs Jessica Tompkins Wieduwilt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558699090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	202035 (Oklahoma)	Primary
163W00000X	Registered Nurse	688535 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3885 (California)	Secondary

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. Mrs Jessica Tompkins Wieduwilt allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265535702 PECOS PAC ID: 3577476761 Enrollment ID: O20040102000635

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. Mrs Jessica Tompkins Wieduwilt 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
Mrs Jessica Tompkins Wieduwilt, CRNA Po Box 26901, Oklahoma City, OK 73126-0901 Ph: (405) 271-4351	Mrs Jessica Tompkins Wieduwilt, CRNA 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 Ph: (405) 271-4351

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oklahoma City, OK

Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612

Mrs Jessica Tompkins Wieduwilt, CRNA - Medicare Nurse Anesthetist, Certified Registered in Oklahoma City, OK