Dr John Tyler Wilson Iv, CRNA, PHD - Medicare Nurse Anesthetist, Certified Registered in Fort Bragg, NC

Dr John Tyler Wilson Iv, CRNA, PHD is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Bragg, North Carolina. His current practice location is Womack Army Medical Center, Fort Bragg, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-6286.

Dr John Tyler Wilson Iv is licensed to practice in North Carolina (license number 072006) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508833146.

Contact Information

Dr John Tyler Wilson Iv, CRNA, PHD
Womack Army Medical Center,
Fort Bragg, NC 28310-0001
(910) 907-6286
Not Available



Provider's Profile

Full NameDr John Tyler Wilson Iv
GenderMale
SpecialityNurse Anesthetist, Certified Registered
LocationWomack Army Medical Center, Fort Bragg, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508833146
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 03/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4082614425
  • Enrollment ID: I20070108000502

Medical Identifiers

Medical identifiers for Dr John Tyler Wilson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508833146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 072006 (North Carolina)Primary

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. Dr John Tyler Wilson Iv allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436

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Entity NameColumbus Regional Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376537555
PECOS PAC ID: 2961312228
Enrollment ID: O20040823001463

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Entity NameLexington Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417958331
PECOS PAC ID: 3173574233
Enrollment ID: O20050207000038

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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. Dr John Tyler Wilson Iv 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 AddressPractice Location Address
Dr John Tyler Wilson Iv, CRNA, PHD
58 Willowcroft Ct,
Dunn, NC 28334-6278

Ph: (808) 295-6256
Dr John Tyler Wilson Iv, CRNA, PHD
Womack Army Medical Center,
Fort Bragg, NC 28310-0001

Ph: (910) 907-6286

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› Verified 4 days ago


Nurse Anesthetist, Certified Registered Nurses in Fort Bragg, NC

Mr. Richard Phillip Kirschke, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310
Phone: 910-907-7818    
Leland Bradley Morgans,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310
Phone: 910-907-8034    
Jeffrey Deen Thompson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Ms. Katrina Lynette Cheek, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310
Phone: 910-970-6323    
Thais Rodriguez Fletcher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 254-319-4654    
Allison Paige Martin,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 336-529-0348    
Stephanie Martinson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: Womack Army Medical Ctr, Department Of Anesthesia, Fort Bragg, NC 28310
Phone: 910-906-6778    

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