Tanner Wilson, - Medicare Anesthesiologist Assistant in Tampa, FL

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Tanner Wilson, is a medicare enrolled "Anesthesiologist Assistant" physician in Tampa, Florida. His current practice location is 12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (888) 663-3488.

Tanner Wilson is licensed to practice in Florida (license number AA831) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134906753.

Contact Information

Tanner Wilson,
12902 Usf Magnolia Dr,
Tampa, FL 33612-9416
(888) 663-3488
Not Available

Map and Direction




Physician's Profile

Full NameTanner Wilson
GenderMale
SpecialityAnesthesiologist Assistant
Location12902 Usf Magnolia Dr, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134906753
  • Provider Enumeration Date: 09/08/2023
  • Last Update Date: 02/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921443888
  • Enrollment ID: I20240301000031

Medical Identifiers

Medical identifiers for Tanner Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134906753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology AA831 (Florida)Secondary
367H00000XAnesthesiologist Assistant AA831 (Florida)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. Tanner Wilson allows following entities to bill medicare on his behalf.
Entity NameH Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306833595
PECOS PAC ID: 2264337021
Enrollment ID: O20031204000575
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Tanner 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
Tanner Wilson,
Po Box 198441,
Atlanta, GA 30384-8441

Ph: (813) 745-7365		Tanner Wilson,
12902 Usf Magnolia Dr,
Tampa, FL 33612-9416

Ph: (888) 663-3488

Reviews and Comments



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.