Jeremiah Brandon Wilson is a Tyler, Texas based nurse anesthetist with 20 years of experience as Anesthesia Administration. He completed he graduation in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeremiah Brandon Wilson is 074369 for Anesthesia Administration in Texas. his current practice location is 1424 East Front, Tyler. Patients can reach him at 903-595-4144. Jeremiah Brandon Wilson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1902955008. Jeremiah Brandon Wilson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jeremiah Brandon Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1424 East Front, Tyler, Texas, 75702-8501
Phone:
903-595-4144
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9739195678
Enrollment ID:
I20060301000455
NPI Number:
1902955008
NPI Enumeration Date:
09 Jan, 2007
NPI Last Update On:
17 Dec, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeremiah Brandon Wilson are as mentioned below.
License Number
Specialization
State
Status
074369
Anesthesia Administration
Texas
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Christus Mother Frances Hospital (450102)
Tyler, TX
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jeremiah Brandon Wilson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mother Frances Hospital Regional Health Care Center (9234025636)
103
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeremiah Brandon Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
89118U
Other
Texas
BLUE CROSS BLUE SHIELD
178842402
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 130639, Tyler, Texas
Zip:
75713-0639
Phone Number:
903-595-4144
Fax Number:
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Patients can reach Jeremiah Brandon Wilson at 1424 East Front, Tyler, Texas or can call to book an appointment on 903-595-4144.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.