Mr John Roger Wilson Iii, CRNA in Spartanburg, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Mr John Roger Wilson Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Spartanburg, South 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 Spartanburg Medical Center and his current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-6122.

Mr John Roger Wilson Iii is licensed to practice in South Carolina (license number 3102) 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 1164507992.

Contact Information

	Mr John Roger Wilson Iii, CRNA
	101 E Wood St, Spartanburg, SC 29303-3040
	(864) 560-6122
	(864) 560-6276

Map and Direction

Provider's Profile

Full Name	Mr John Roger Wilson Iii
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	101 E Wood St, Spartanburg, South 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:

Mr John Roger Wilson Iii graduated from nursing school in 2006

NPI Data:

NPI Number: 1164507992
Provider Enumeration Date: 10/27/2006
Last Update Date: 07/02/2009

Medicare PECOS Information:

PECOS PAC ID: 4981789906
Enrollment ID: I20080313000744

Medical Identifiers

Medical identifiers for Mr John Roger Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164507992	NPI	-	NPPES
P00708588	Other	SC	RR MEDICARE
AN1653	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3102 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spartanburg Medical Center	Spartanburg, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spartanburg Medical Center	3072425297	912

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 Roger Wilson Iii allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210

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 Roger Wilson Iii 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
Mr John Roger Wilson Iii, CRNA Po Box 651602, Charlotte, NC 28265-1602 Ph: (864) 560-4123	Mr John Roger Wilson Iii, CRNA 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6122

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Spartanburg, SC

Adam Raynes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000
Christin Bailey Coggins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023
Melissa E Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122
Charity Michelle Taylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023
Mr. Richard Niles Vaught, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000
Mrs. Lori Saxon Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 Fax: 864-560-6276
Seth Tyler House, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122

Mr John Roger Wilson Iii, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Spartanburg, SC