Mr Robert Clyde Wyatt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pocahontas, Arkansas. He graduated from nursing school in 1985 and has 41 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice North Iowa Mercy Clinics, Lifelinc Anesthesia V, P.a. and his current practice location is
2801 Medical Center Dr, Pocahontas, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 972-8053.
Mr Robert Clyde Wyatt is licensed to practice in Arkansas (license number C00474 CRNA) 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 1568518694.
Provider's Profile
| Full Name | Mr Robert Clyde Wyatt |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 41 Years |
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| Location | 2801 Medical Center Dr, Pocahontas, 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 Robert Clyde Wyatt graduated from nursing school in 1985
NPI Data:
- NPI Number: 1568518694
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072404177
- Enrollment ID: I20210624002097
Medical Identifiers
Medical identifiers for Mr Robert Clyde Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568518694 | NPI | - | NPPES |
| 115446701 | Medicaid | AR | |
| 915192819 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C00474 CRNA (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Iowa Mercy Clinics | 7810809076 | 307 |
| Lifelinc Anesthesia V, P.a. | 8921359712 | 41 |
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. Mr Robert Clyde Wyatt allows following entities to bill medicare on his behalf.
| Entity Name | North Iowa Mercy Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780278242
PECOS PAC ID: 7810809076
Enrollment ID: O20031105000273 |
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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. Mr Robert Clyde Wyatt 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 Robert Clyde Wyatt, CRNA
1210 W Country Club Ter,
Jonesboro, AR 72401-4374
Ph: (870) 972-1605 | Mr Robert Clyde Wyatt, CRNA
2801 Medical Center Dr,
Pocahontas, AR 72455-9436
Ph: (870) 972-8053 |
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