Jed T Widdison, CRNA in Provo, UT - Medicare Nurse Anesthetist, Certified Registered

Jed T Widdison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Provo, Utah. His current practice location is 320 River Park Dr Ste 125, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 437-4500.

Jed T Widdison is licensed to practice in Utah (license number 362537-4406) 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 1598731598.

Contact Information

	Jed T Widdison, CRNA
	320 River Park Dr Ste 125, Provo, UT 84604-6065
	(801) 437-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jed T Widdison
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	320 River Park Dr Ste 125, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598731598
Provider Enumeration Date: 02/28/2006
Last Update Date: 08/27/2009

Medicare PECOS Information:

PECOS PAC ID: 1850290784
Enrollment ID: I20040108000656

Medical Identifiers

Medical identifiers for Jed T Widdison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598731598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	362537-4406 (Utah)	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. Jed T Widdison allows following entities to bill medicare on his behalf.

Entity Name	Mountain View Anesthesia Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626

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. Jed T Widdison 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
Jed T Widdison, CRNA 320 River Park Dr, Suite 125, Provo, UT 84604-6060 Ph: (801) 437-4500	Jed T Widdison, CRNA 320 River Park Dr Ste 125, Provo, UT 84604-6065 Ph: (801) 437-4500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Provo, UT

Sarah Ward Barnaby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-727-2056 Fax: 770-701-6675
Rodney L Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 River Park Dr Ste 125, Provo, UT 84604 Phone: 801-375-8049 Fax: 801-374-9195
Chase Bazil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 N State St Ste 105, Provo, UT 84604 Phone: 801-655-5245
Shelby Lyn Beck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354
Joyce Westphal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-375-0983 Fax: 801-375-0988
Samantha Anderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 608-695-0168
Dirk Bradley Bahoravitch, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354

Jed T Widdison, CRNA - Medicare Nurse Anesthetist, Certified Registered in Provo, UT