Matthew Royal Wilson, CRNA in Petoskey, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Matthew Royal Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Petoskey, Michigan. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northern Anesthesia Providers Pc and his current practice location is 416 Connable Ave, Petoskey, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 348-2795.

Matthew Royal Wilson is licensed to practice in Michigan (license number 4704299657) 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 1356988547.

Contact Information

	Matthew Royal Wilson, CRNA
	416 Connable Ave, Petoskey, MI 49770-2212
	(231) 348-2795
	(231) 348-2031

Map and Direction

Provider's Profile

Full Name	Matthew Royal Wilson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	416 Connable Ave, Petoskey, Michigan
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:

Matthew Royal Wilson graduated from nursing school in 2019

NPI Data:

NPI Number: 1356988547
Provider Enumeration Date: 12/06/2019
Last Update Date: 06/01/2026

Medicare PECOS Information:

PECOS PAC ID: 0547698557
Enrollment ID: I20200324003594

Medical Identifiers

Medical identifiers for Matthew Royal Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356988547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704299657 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mclaren Northern Michigan	Petoskey, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Anesthesia Providers Pc	4789579863	32

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. Matthew Royal Wilson allows following entities to bill medicare on his behalf.

Entity Name	Northern Anesthesia Providers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20040218000105

Entity Name	St Mary Mercy Hospital Crna
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063602092 PECOS PAC ID: 8820163538 Enrollment ID: O20080814000520

Entity Name	Rochester Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717

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. Matthew Royal Wilson 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
Matthew Royal Wilson, CRNA 602 Jackson St, Petoskey, MI 49770-2220 Ph: (231) 348-2795	Matthew Royal Wilson, CRNA 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 348-2795

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Petoskey, MI

Heather Marie Lesnik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031
Mr. Todd William Singleton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031
Michelle Rene'e Gaudreau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031
Heather Jean Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031
Jonathon Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031
Mark Rothman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031

Matthew Royal Wilson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Petoskey, MI