| Mr Jason Earl Wilson, CRNA | |
|
242 Deerfoot Dr, London, KY 40741-8849 | |
| (606) 862-2686 | |
| Not Available |
| Full Name | Mr Jason Earl Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 242 Deerfoot Dr, London, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255316808 | NPI | - | NPPES |
| G3425 | Other | FL | BCBS |
| 306753000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP3143422 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3004775 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Anesthesia Group Psc | 4082527890 | 36 |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Earl Wilson, CRNA 242 Deerfoot Dr, London, KY 40741-8849 Ph: (606) 862-2686 | Mr Jason Earl Wilson, CRNA 242 Deerfoot Dr, London, KY 40741-8849 Ph: (606) 862-2686 |
James M Shilling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 310 E 9th St, London, KY 40741 Phone: 606-877-3931 Fax: 606-877-3978 | |
Ms. Reida A Sowden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 | |
Linda Fay Hall, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, Anesthesia Department, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-7825 | |
Jerl David Stewart, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Saint Joseph Lane, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-7825 | |
Laura Alexis Brannon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-7825 | |
Ms. Kay R Chamberlain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 |