Jeremy R Taysom, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wasilla, AK

Jeremy R Taysom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wasilla, Alaska. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Care Associates Pc and his current practice location is 2910 E Tamarak Ave, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at (208) 421-4819.

Jeremy R Taysom is licensed to practice in Idaho (license number RNA-837) 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 1093060170.

Contact Information

Jeremy R Taysom, CRNA
2910 E Tamarak Ave,
Wasilla, AK 99654-7484
(208) 421-4819
Not Available



Provider's Profile

Full NameJeremy R Taysom
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location2910 E Tamarak Ave, Wasilla, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeremy R Taysom graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1093060170
  • Provider Enumeration Date: 07/16/2012
  • Last Update Date: 10/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7810147154
  • Enrollment ID: I20170110002741

Medical Identifiers

Medical identifiers for Jeremy R Taysom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093060170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RNA-837 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mat-su Regional Medical CenterPalmer, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Care Associates Pc044624438830

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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. Jeremy R Taysom allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Care Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160452
PECOS PAC ID: 0446244388
Enrollment ID: O20040413000787

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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. Jeremy R Taysom 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
Jeremy R Taysom, CRNA
2910 E Tamarak Ave,
Wasilla, AK 99654-7484

Ph: (208) 421-4819
Jeremy R Taysom, CRNA
2910 E Tamarak Ave,
Wasilla, AK 99654-7484

Ph: (208) 421-4819

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Nurse Anesthetist, Certified Registered Nurses in Wasilla, AK


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