Jonathan Michael Wildy, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Prairie Village, KS

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Jonathan Michael Wildy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Prairie Village, Kansas. He graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pine Ridge Indian Health Service Hospital and his current practice location is 5101 W 73rd St, Prairie Village, Kansas. You can reach out to his office (for appointments etc.) via phone at (619) 600-1023.

Jonathan Michael Wildy is licensed to practice in California (license number 3906) 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 1619137288.

Contact Information

Jonathan Michael Wildy, CRNA
5101 W 73rd St,
Prairie Village, KS 66208-2434
(619) 600-1023
Not Available

Map and Direction




Provider's Profile

Full NameJonathan Michael Wildy
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location5101 W 73rd St, Prairie Village, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Michael Wildy graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1619137288
  • Provider Enumeration Date: 06/16/2008
  • Last Update Date: 10/18/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3971777384
  • Enrollment ID: I20140206001369

Medical Identifiers

Medical identifiers for Jonathan Michael Wildy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619137288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1390081012 (Kansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (California)Secondary
367500000XNurse Anesthetist, Certified Registered 3906 (California)Primary
367500000XNurse Anesthetist, Certified Registered 0024168911 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 556930 (Kansas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Ridge Indian Health Service Hospital4688571326107

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. Jonathan Michael Wildy allows following entities to bill medicare on his behalf.
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20080229000631
Entity NameMch Professional Care Hospital Based
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447547773
PECOS PAC ID: 1557535127
Enrollment ID: O20111116000437

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. Jonathan Michael Wildy 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 AddressPractice Location Address
Jonathan Michael Wildy, CRNA
5101 W 73rd St,
Prairie Village, KS 66208-2434

Ph: (619) 600-1023		Jonathan Michael Wildy, CRNA
5101 W 73rd St,
Prairie Village, KS 66208-2434

Ph: (619) 600-1023

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Prairie Village, KS

Mr. Conor T Mulcahy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7811 Birch St, Prairie Village, KS 66208
Phone: 913-406-1166    
Janet H Siuda, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3840 W 75th Street, Physicians Surgery Center, Prairie Village, KS 66208
Phone: 913-384-9600    Fax: 931-384-9646

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.