Tagel Elizabeth Wilson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Statesboro, GA

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Tagel Elizabeth Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Statesboro, Georgia. Her current practice location is 1499 Fair Rd, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 486-1000.

Tagel Elizabeth Wilson is licensed to practice in Georgia (license number RN270757) 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 1083328546.

Contact Information

Tagel Elizabeth Wilson, CRNA
1499 Fair Rd,
Statesboro, GA 30458-1683
(912) 486-1000
Not Available

Map and Direction




Provider's Profile

Full NameTagel Elizabeth Wilson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1499 Fair Rd, Statesboro, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083328546
  • Provider Enumeration Date: 01/10/2023
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224400650
  • Enrollment ID: I20230214000541

Medical Identifiers

Medical identifiers for Tagel Elizabeth Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083328546NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN270757 (Georgia)Primary

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. Tagel Elizabeth Wilson allows following entities to bill medicare on her behalf.
Entity NameAms Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487107157
PECOS PAC ID: 3870880792
Enrollment ID: O20160921000551

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. Tagel Elizabeth 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 AddressPractice Location Address
Tagel Elizabeth Wilson, CRNA
2570 Blyth Ln,
Snellville, GA 30078-5919

Ph: (770) 940-9188		Tagel Elizabeth Wilson, CRNA
1499 Fair Rd,
Statesboro, GA 30458-1683

Ph: (912) 486-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Statesboro, GA

Catherine A Landry-arseneault, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-486-1973    
Mr. Robert D Counts, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1499 Fair Rd, Statesboro, GA 30459
Phone: 912-486-1000    Fax: 912-871-2392
Trevor Weathersby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-486-1000    
David Derosso, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 704-662-5544    
Mr. James Robert Stockton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-681-1150    
Mark A Leszczynski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Fair Rd, Statesboro, GA 30458
Phone: 877-727-1960    Fax: 706-854-8454

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.