Ms Jessica Deyton Wiese, CRNA in Saint Louis, MO - Medicare Nurse Anesthetist, Certified Registered

Ms Jessica Deyton Wiese, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. Her current practice location is 1 Childrens Pl, Dept Anesthesiology, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (800) 862-9980.

Ms Jessica Deyton Wiese is licensed to practice in Missouri (license number 2024009609) 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 1740817840.

Contact Information

	Ms Jessica Deyton Wiese, CRNA
	1 Childrens Pl, Dept Anesthesiology, Saint Louis, MO 63110-1002
	(800) 862-9980
	(314) 362-1185

Map and Direction

Provider's Profile

Full Name	Ms Jessica Deyton Wiese
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Childrens Pl, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740817840
Provider Enumeration Date: 03/26/2020
Last Update Date: 04/17/2025

Medicare PECOS Information:

PECOS PAC ID: 3870916901
Enrollment ID: I20200708002529

Medical Identifiers

Medical identifiers for Ms Jessica Deyton Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740817840	NPI	-	NPPES
910139016	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2024009609 (Missouri)	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. Ms Jessica Deyton Wiese allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital Anesthesia Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258

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. Ms Jessica Deyton Wiese 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
Ms Jessica Deyton Wiese, CRNA Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 862-9980	Ms Jessica Deyton Wiese, CRNA 1 Childrens Pl, Dept Anesthesiology, Saint Louis, MO 63110-1002 Ph: (800) 862-9980

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Ms Jessica Deyton Wiese, CRNA - Medicare Nurse Anesthetist, Certified Registered in Saint Louis, MO