Donovan Dean Wilson, - Medicare Certified Registered Nurse Anesthetist (crna) in Bristol, TN

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Donovan Dean Wilson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bristol, Tennessee. He graduated from nursing school in 1984 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Paragon Anesthesia Pc and his current practice location is 1 Medical Park Blvd, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 844-1121.

Donovan Dean Wilson is licensed to practice in Texas (license number 112090) 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 1093743726.

Contact Information

Donovan Dean Wilson,
1 Medical Park Blvd,
Bristol, TN 37620-7430
(423) 844-1121
Not Available

Map and Direction




Provider's Profile

Full NameDonovan Dean Wilson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience40 Years
Location1 Medical Park Blvd, Bristol, Tennessee
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:
  • Donovan Dean Wilson graduated from nursing school in 1984
  NPI Data:
  • NPI Number: 1093743726
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 05/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4486751856
  • Enrollment ID: I20070518000349

Medical Identifiers

Medical identifiers for Donovan Dean Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093743726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 112090 (Texas)Primary
367500000XNurse Anesthetist, Certified Registered 37086 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Bristol Regional Medical CenterBristol, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paragon Anesthesia Pc8921044744121

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. Donovan Dean Wilson allows following entities to bill medicare on his behalf.
Entity NameParagon Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538174974
PECOS PAC ID: 8921044744
Enrollment ID: O20090402000626
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Donovan Dean 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
Donovan Dean Wilson,
350 Blountville Hwy, Ste 207,
Bristol, TN 37620-0213

Ph: (423) 968-4540		Donovan Dean Wilson,
1 Medical Park Blvd,
Bristol, TN 37620-7430

Ph: (423) 844-1121

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bristol, TN

Cassondra Nichole Compton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2686    Fax: 423-844-2688
Saralee A Bailey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 236 Alhambra Dr, Bristol, TN 37620
Phone: 423-383-8395    
Vickie Jean Camilli, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2686    Fax: 423-844-2688
Robert R Herndon,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-1121    
Rolf H Jarnes,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-1121    
Jennifer Elaine Mays, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2686    Fax: 423-844-2688

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.