Mr John Roger Wilson Iii, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Spartanburg, SC

Mr John Roger Wilson Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Spartanburg, South Carolina. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Spartanburg Medical Center and his current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-6122.

Mr John Roger Wilson Iii is licensed to practice in South Carolina (license number 3102) 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 1164507992.

Contact Information

Mr John Roger Wilson Iii, CRNA
101 E Wood St,
Spartanburg, SC 29303-3040
(864) 560-6122
(864) 560-6276



Provider's Profile

Full NameMr John Roger Wilson Iii
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location101 E Wood St, Spartanburg, South Carolina
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:
  • Mr John Roger Wilson Iii graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1164507992
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 07/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4981789906
  • Enrollment ID: I20080313000744

Medical Identifiers

Medical identifiers for Mr John Roger Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164507992NPI-NPPES
P00708588OtherSCRR MEDICARE
AN1653MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3102 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spartanburg Medical CenterSpartanburg, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spartanburg Medical Center3072425297843

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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. Mr John Roger Wilson Iii allows following entities to bill medicare on his behalf.
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043309917
PECOS PAC ID: 3072425297
Enrollment ID: O20031105000129

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Entity NamePelham Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644773
PECOS PAC ID: 2365519097
Enrollment ID: O20090602000210

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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 John Roger Wilson Iii 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
Mr John Roger Wilson Iii, CRNA
Po Box 651602,
Charlotte, NC 28265-1602

Ph: (864) 560-4123
Mr John Roger Wilson Iii, CRNA
101 E Wood St,
Spartanburg, SC 29303-3040

Ph: (864) 560-6122

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Nurse Anesthetist, Certified Registered Nurses in Spartanburg, SC

Adam Raynes,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    
Christin Bailey Coggins, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    Fax: 864-560-4023
Melissa E Richardson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6122    
Charity Michelle Taylor, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    Fax: 864-560-4023
Mr. Richard Niles Vaught, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6000    
Mrs. Lori Saxon Brooks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6122    Fax: 864-560-6276
Seth Tyler House, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Wood St, Spartanburg, SC 29303
Phone: 864-560-6122    

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