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 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Associates Of Topeka Pa 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.
Provider's Profile
| Full Name | Jonathan Michael Wildy |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 15 Years |
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| Location | 5101 W 73rd St, Prairie Village, Kansas |
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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:
- 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: I20120824000725
Medical Identifiers
Medical identifiers for Jonathan Michael Wildy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619137288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 1390081012 (Kansas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3906 (California) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024168911 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 556930 (Kansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Associates Of Topeka Pa | 5698675437 | 54 |
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 Name | Anesthesia Associates Of Topeka Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518933837
PECOS PAC ID: 5698675437
Enrollment ID: O20040109000467 |
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| Entity Name | Kansas University Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328 |
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| Entity Name | Northstar Anesthesia Of Kansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073942074
PECOS PAC ID: 6901038819
Enrollment ID: O20140408001134 |
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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. 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 Address | Practice Location Address |
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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 |
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