Regenia L Wilson, CRNA is a 
Nurse Anesthetist, Certified Registered based in Mccall, Idaho. Regenia L Wilson is licensed to practice in Idaho (license number RNA109) and her current practice location is 
1000 State St, Mccall, Idaho. She can be reached at her office (for appointments etc.) via phone at 
(208) 634-2221.
NPI number for Regenia L Wilson is 1891707360 and her current mailing address is 4283 N Nines Ridge Ln, Boise, Idaho. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891707360.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Regenia L Wilson | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Anesthetist, Certified Registered | 
|---|
| Location | 1000 State St, Mccall, Idaho | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1891707360
 - Provider Enumeration Date: 08/13/2006
 - Last Update Date: 07/09/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Regenia L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1891707360 | NPI | - | NPPES | 
| 89250 | Other | ID | BLUE CROSS GROUP # | 
| 000010017281 | Other | ID | REGENCE | 
| A4092 | Other | ID | BLUE CROSS | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 367500000X | Nurse Anesthetist, Certified Registered  | RNA109 (Idaho) | 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. Regenia L Wilson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Regenia L Wilson, CRNA 4283 N Nines Ridge Ln, Boise, ID 83702-1866 Ph: (208) 345-5830 | Regenia L Wilson, CRNA 1000 State St, Mccall, ID 83638-3704 Ph: (208) 634-2221 | 
		
		 
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