Heather Bonnie Wilson, CRNA is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Chattanooga, Tennessee. Her current practice location is
8620 Oak View Dr, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 432-6745.
Heather Bonnie Wilson is licensed to practice in Georgia (license number RN196539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063720720.
Provider's Profile
| Full Name | Heather Bonnie Wilson |
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| Gender | Female |
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| Speciality | Anesthesiology - Critical Care Medicine |
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| Location | 8620 Oak View Dr, Chattanooga, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063720720
- Provider Enumeration Date: 09/15/2010
- Last Update Date: 04/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456540525
- Enrollment ID: I20110105001287
Medical Identifiers
Medical identifiers for Heather Bonnie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063720720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | RN196539 (Georgia) | Secondary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | RN196539 (Georgia) | 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. Heather Bonnie Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Amsol Anesthetists Of Georgia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580 |
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| Entity Name | Emory Specialty Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
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| Entity Name | Sentry Anesthesia Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
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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. Heather Bonnie 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 |
Heather Bonnie Wilson, CRNA 1601 Mcintosh Creek Ct, Phenix City, AL 36867-1586 Ph: (334) 520-0645 | Heather Bonnie Wilson, CRNA 8620 Oak View Dr, Chattanooga, TN 37421-4386 Ph: (423) 432-6745 |
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