Jonathan Michael Wildy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Prairie Village, Kansas. His current practice location is
5101 W 73rd St, Prairie Village, Kansas. You can reach out to his office (for appointments etc.) via phone at
(619) 600-1023.
Jonathan Michael Wildy is licensed to practice in California (license number 3906) 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 1619137288.
Provider's Profile
Full Name | Jonathan Michael Wildy |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 5101 W 73rd St, Prairie Village, Kansas |
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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:
- Jonathan Michael Wildy attended and graduated from in
NPI Data:
- NPI Number: 1619137288
- Provider Enumeration Date: 06/16/2008
- Last Update Date: 10/18/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jonathan Michael Wildy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619137288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 1390081012 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3906 (California) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 0024168911 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 556930 (Kansas) | Secondary |
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. Jonathan Michael Wildy 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 |
Jonathan Michael Wildy, CRNA 5101 W 73rd St, Prairie Village, KS 66208-2434 Ph: (619) 600-1023 | Jonathan Michael Wildy, CRNA 5101 W 73rd St, Prairie Village, KS 66208-2434 Ph: (619) 600-1023 |
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