Jeremy R Taysom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Evanston, Wyoming. His current practice location is
190 Arrowhead Dr, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 789-3636.
Jeremy R Taysom is licensed to practice in Wyoming (license number 56824) 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 1093060170.
Provider's Profile
Full Name | Jeremy R Taysom |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 190 Arrowhead Dr, Evanston, Wyoming |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeremy R Taysom attended and graduated from in
NPI Data:
- NPI Number: 1093060170
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jeremy R Taysom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093060170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RNA-837 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 56824 (Wyoming) | Primary |
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. Jeremy R Taysom 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 |
Jeremy R Taysom, CRNA 444 Crane Ave, Evanston, WY 82930-4916 Ph: (208) 421-4819 | Jeremy R Taysom, CRNA 190 Arrowhead Dr, Evanston, WY 82930-9266 Ph: (307) 789-3636 |
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