Jeremy R Taysom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Evanston, Wyoming. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Care Associates Pc and 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 | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 14 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. |
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Medical Education and Training:
- Jeremy R Taysom graduated from nursing school in 2012
NPI Data:
- NPI Number: 1093060170
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810147154
- Enrollment ID: I20170110002741
Medical Identifiers
Medical identifiers for Jeremy R Taysom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093060170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA-837 (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 56824 (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesia Care Associates Pc | 0446244388 | 37 |
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. Jeremy R Taysom allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Care Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033160452
PECOS PAC ID: 0446244388
Enrollment ID: O20040413000787 |
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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. 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 |
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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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