| Jeremy L Wilson, CRNA | |
|
888 Swift Blvd, Richland, WA 99352-3514 | |
| (770) 643-5619 | |
| (678) 352-4322 |
| Full Name | Jeremy L Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 888 Swift Blvd, Richland, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902275142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 212544-6 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60607230 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc | 4880699172 | 66 |
| Entity Name | Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013940253 PECOS PAC ID: 4880699172 Enrollment ID: O20060920000047 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20211021002476 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy L Wilson, CRNA 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 Ph: (770) 643-5619 | Jeremy L Wilson, CRNA 888 Swift Blvd, Richland, WA 99352-3514 Ph: (770) 643-5619 |
Conor Paul Livingston, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Jacob D Boston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 770-643-5619 | |
Dr. Marina Cuk, DNP/CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 | |
Dr. Orisley Franch De Armas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 |