Mr John Robert Wyatt Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Paragould, Arkansas. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Arkansas Methodist Hospital Corporation and his current practice location is
900 W Kingshighway, Paragould, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 239-7000.
Mr John Robert Wyatt Jr is licensed to practice in Arkansas (license number C002963) 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 1205106523.
Provider's Profile
| Full Name | Mr John Robert Wyatt Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 13 Years |
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| Location | 900 W Kingshighway, Paragould, Arkansas |
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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. |
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Medical Education and Training:
- Mr John Robert Wyatt Jr graduated from nursing school in 2011
NPI Data:
- NPI Number: 1205106523
- Provider Enumeration Date: 01/03/2012
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597925552
- Enrollment ID: I20130710000237
Medical Identifiers
Medical identifiers for Mr John Robert Wyatt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205106523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R077091 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2024036785 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 810543 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 16514 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C002963 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Arkansas Methodist Hospital Corporation | 6608780119 | 34 |
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. Mr John Robert Wyatt Jr allows following entities to bill medicare on his behalf.
| Entity Name | Arkansas Methodist Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861593816
PECOS PAC ID: 6608780119
Enrollment ID: O20031124000746 |
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| Entity Name | Baxter County Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114178753
PECOS PAC ID: 0042389264
Enrollment ID: O20081212000269 |
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| Entity Name | Medical Anesthesia Group, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679527501
PECOS PAC ID: 9436047685
Enrollment ID: O20130611000373 |
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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. Mr John Robert Wyatt Jr 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 |
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Mr John Robert Wyatt Jr, CRNA
3 Lukas Cv,
Paragould, AR 72450-7567
Ph: () - | Mr John Robert Wyatt Jr, CRNA
900 W Kingshighway,
Paragould, AR 72450
Ph: (870) 239-7000 |
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