Jimmy-john Clifford Wilson, CRNA in Greenville, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Jimmy-john Clifford Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, North Carolina. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice East Carolina Anesthesia Associates Pllc and his current practice location is 2080 W Arlington Blvd Ste B, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 752-2140.

Jimmy-john Clifford Wilson is licensed to practice in North Carolina (license number 075318) 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 1194875112.

Contact Information

	Jimmy-john Clifford Wilson, CRNA
	2080 W Arlington Blvd Ste B, Greenville, NC 27834
	(252) 752-2140
	(252) 689-6502

Map and Direction

Provider's Profile

Full Name	Jimmy-john Clifford Wilson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	2080 W Arlington Blvd Ste B, Greenville, North Carolina
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:

Jimmy-john Clifford Wilson graduated from nursing school in 2006

NPI Data:

NPI Number: 1194875112
Provider Enumeration Date: 01/11/2007
Last Update Date: 07/24/2020

Medicare PECOS Information:

PECOS PAC ID: 1052416344
Enrollment ID: I20070416000151

Medical Identifiers

Medical identifiers for Jimmy-john Clifford Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194875112	NPI	-	NPPES
8052804	Medicaid	NC
P00408503	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	075318 (North Carolina)	Primary
163W00000X	Registered Nurse	162260 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Medical Center	Greenville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Carolina Anesthesia Associates Pllc	5092720813	473

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. Jimmy-john Clifford Wilson allows following entities to bill medicare on his behalf.

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

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. Jimmy-john Clifford Wilson 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
Jimmy-john Clifford Wilson, CRNA 2080 W Arlington Blvd Ste B, Greenville, NC 27834-3770 Ph: (252) 752-2140	Jimmy-john Clifford Wilson, CRNA 2080 W Arlington Blvd Ste B, Greenville, NC 27834 Ph: (252) 752-2140

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greenville, NC

Kathryn Donato, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4100
Robert N Maclennan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-752-3949
Bethany Hardesty, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 W Arlington Blvd Ste B, 7th Floor, Greenville, NC 27834 Phone: 252-752-2140
Leah S Feyh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-752-3949
Ms. Suzanne Paschall Respess, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-752-8054
Andrew Michael Bolick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2430 Emerald Pl Ste 201, Greenville, NC 27834 Phone: 252-752-2140
Andrea Hobgood Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 W Arlington Blvd Ste B, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-689-6502

Jimmy-john Clifford Wilson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Greenville, NC