Mr John Robert Wyatt Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Paragould, Arkansas. His current practice location is
900 W Kingshighway, Paragould, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 239-7000.
Mr John Robert Wyatt Jr is licensed to practice in Arkansas (license number C002963) 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 1205106523.
Provider's Profile
| Full Name | Mr John Robert Wyatt Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 900 W Kingshighway, Paragould, Arkansas |
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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:
- Mr John Robert Wyatt Jr attended and graduated from in
NPI Data:
- NPI Number: 1205106523
- Provider Enumeration Date: 01/03/2012
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr John Robert Wyatt Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205106523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R077091 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2024036785 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 810543 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 16514 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C002963 (Arkansas) | Primary |
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. Mr John Robert Wyatt Jr 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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Mr John Robert Wyatt Jr, CRNA
3 Lukas Cv,
Paragould, AR 72450-7567
Ph: () - | Mr John Robert Wyatt Jr, CRNA
900 W Kingshighway,
Paragould, AR 72450
Ph: (870) 239-7000 |
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