Stephanie E Wallace, CRNA in Camp Pendleton, CA - Medicare Nurse Anesthetist, Certified Registered

Stephanie E Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camp Pendleton, California. Her current practice location is 200 Mercy Circle, Camp Pendleton, California. You can reach out to her office (for appointments etc.) via phone at (760) 719-4970.

Stephanie E Wallace is licensed to practice in Maryland (license number R225183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427534718.

Contact Information

	Stephanie E Wallace, CRNA
	200 Mercy Circle, Camp Pendleton, CA 92055
	(760) 719-4970
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie E Wallace
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Mercy Circle, Camp Pendleton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427534718
Provider Enumeration Date: 07/19/2018
Last Update Date: 07/19/2018

Medicare PECOS Information:

PECOS PAC ID: 5991133647
Enrollment ID: I20200312000943

Medical Identifiers

Medical identifiers for Stephanie E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427534718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R225183 (Maryland)	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. Stephanie E Wallace allows following entities to bill medicare on her behalf.

Entity Name	United Medical Doctors
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069

Entity Name	Temecula Ca Endoscopy Asc Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285863696 PECOS PAC ID: 4981645678 Enrollment ID: O20090730000041

Entity Name	Temecula Ca United Surgery Center Lp
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1275951196 PECOS PAC ID: 9436465853 Enrollment ID: O20150831003140

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. Stephanie E Wallace 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 Address	Practice Location Address
Stephanie E Wallace, CRNA Po Box 555191, Camp Pendleton, CA 92055-5191 Ph: (760) 719-4970	Stephanie E Wallace, CRNA 200 Mercy Circle, Camp Pendleton, CA 92055 Ph: (760) 719-4970

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Camp Pendleton, CA

Elizabeth Ann Aban, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Building H100 Santa Margarita Road, Naval Hospital Camp Pendlton, Camp Pendleton, CA 92055 Phone: 760-725-8882
Ms. Teresa Marie Garza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Co Naval Hospital, Box 555191, Camp Pendleton, CA 92055 Phone: 760-725-8578
Mr. Darren Joseph Couture, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Mecry Circle, Naval Medical Readiness Training Center Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1288
Joseph Vernon Koshiol, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-8578
Elisabeth Holmes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: H200 Mercy Cir., Camp Pendleton, CA 92055 Phone: 760-725-1288
Mr. Robert Joseph Tursi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055 Phone: 760-725-8578

Stephanie E Wallace, CRNA - Medicare Nurse Anesthetist, Certified Registered in Camp Pendleton, CA