Charles Derrick Wilson, CRNA in Valley, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Charles Derrick Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Valley, Alabama. He graduated from nursing school in 1987 and has 37 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Us Anesthesia Partners Of Kansas Pa and his current practice location is 4800 48th St, Valley, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 756-1848.

Charles Derrick Wilson is licensed to practice in Georgia (license number RN065069) 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 1730146309.

Contact Information

	Charles Derrick Wilson, CRNA
	4800 48th St, Valley, AL 36854-3666
	(334) 756-1848
	(334) 756-1854

Map and Direction

Provider's Profile

Full Name	Charles Derrick Wilson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	37 Years
Location	4800 48th St, Valley, Alabama
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:

Charles Derrick Wilson graduated from nursing school in 1987

NPI Data:

NPI Number: 1730146309
Provider Enumeration Date: 04/27/2006
Last Update Date: 09/27/2011

Medicare PECOS Information:

PECOS PAC ID: 2860385895
Enrollment ID: I20200323000905

Medical Identifiers

Medical identifiers for Charles Derrick Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730146309	NPI	-	NPPES
51517977	Other	AL	BCBSAL PROVIDER #
000549381E	Medicaid	GA
051517977	Medicaid	AL
000549381C	Medicaid	GA
000549381D	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-044011 (Alabama)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN065069 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Catherine Hospital	Garden city, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Us Anesthesia Partners Of Kansas Pa	7719245299	12

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. Charles Derrick Wilson allows following entities to bill medicare on his behalf.

Entity Name	Us Anesthesia Partners Of Kansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811415599 PECOS PAC ID: 7719245299 Enrollment ID: O20171212000890

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. Charles Derrick 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
Charles Derrick Wilson, CRNA Po Box 661495, Birmingham, AL 35266-1495 Ph: (205) 979-5882	Charles Derrick Wilson, CRNA 4800 48th St, Valley, AL 36854-3666 Ph: (334) 756-1848

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Valley, AL

Thomas M Nichols, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854
Mr. Gary Russell Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 256-283-7878
Heather Laconya Veal Fields, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854
James M Henderson Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854

Charles Derrick Wilson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Valley, AL