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

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Charles Derrick Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Valley, Alabama. He graduated from nursing school in 1987 and has 39 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sentry Anesthesia Management, Llc, 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 NameCharles Derrick Wilson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience39 Years
Location4800 48th St, Valley, Alabama
Accepts Medicare AssignmentsYes. 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: I20080109000103

Medical Identifiers

Medical identifiers for Charles Derrick Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730146309NPI-NPPES
51517977OtherALBCBSAL PROVIDER #
000549381EMedicaidGA
051517977MedicaidAL
000549381CMedicaidGA
000549381DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1-044011 (Alabama)Secondary
367500000XNurse Anesthetist, Certified Registered RN065069 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Catherine HospitalGarden city, KSHospital
Wellstar West Georgia Medical CenterLagrange, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentry Anesthesia Management, Llc9436372323170
Us Anesthesia Partners Of Kansas Pa771924529923

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 NameUnion County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487684122
PECOS PAC ID: 3779490503
Enrollment ID: O20040102000231
Entity NameP. Michael Skaliy, Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750559738
PECOS PAC ID: 6901887223
Enrollment ID: O20040525000091
Entity NameAmsol Anesthetists Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649224775
PECOS PAC ID: 5193780955
Enrollment ID: O20041122000580
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameWilson Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104178482
PECOS PAC ID: 5698926673
Enrollment ID: O20121126000110
Entity NameRg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235553421
PECOS PAC ID: 1052543287
Enrollment ID: O20140422001220
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20151103001846
Entity NameAmbulatory Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851799373
PECOS PAC ID: 9931401858
Enrollment ID: O20160111000407
Entity NameSt Francis Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326749417
PECOS PAC ID: 8729381033
Enrollment ID: O20160120002073

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 AddressPractice 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: Not Enrolled in Medicare
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: Accepting Medicare Assignments
Practice Location: 4800 48th St, Valley, AL 36854
Phone: 334-756-1848    Fax: 334-756-1854

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.