Tanner Wilson, is a medicare enrolled "Anesthesiologist Assistant" physician in Tampa, Florida. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc and 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
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 1134906753.
Physician's Profile
| Full Name | Tanner Wilson |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 3 Years |
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| Location | 12902 Usf Magnolia Dr, Tampa, Florida |
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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:
- Tanner Wilson graduated from medical school in 2023
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.
| Identifier | Type | State | Issuer |
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| 1134906753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | AA831 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA831 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 1045 |
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 Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306833595
PECOS PAC ID: 2264337021
Enrollment ID: O20031204000575 |
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| Entity Name | Sunshine State Anesthesia Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003 |
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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. 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 Address | Practice Location Address |
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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 |
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