| Amanda Fraser Wallace, MD | |
|
755 Heritage Rd, Golden, CO 80401-3600 | |
| (303) 277-0700 | |
| Not Available |
| Full Name | Amanda Fraser Wallace |
|---|---|
| Gender | Female |
| Speciality | Pain Management |
| Experience | 16 Years |
| Location | 755 Heritage Rd, Golden, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174750707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | DR0052096 (Colorado) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 0052096 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uchealth Yampa Valley Medical Center | Steamboat springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yampa Valley Medical Center | 5890685689 | 104 |
| Entity Name | Yampa Valley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790787307 PECOS PAC ID: 5890685689 Enrollment ID: O20040316001301 |
| Entity Name | Arizona Pain Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700030939 PECOS PAC ID: 2668536418 Enrollment ID: O20141125001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Fraser Wallace, MD 1818 E 7th Ave, Denver, CO 80218-3645 Ph: () - | Amanda Fraser Wallace, MD 755 Heritage Rd, Golden, CO 80401-3600 Ph: (303) 277-0700 |
Lynn R White, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Craig Richard Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1819 Dever West Dr. Bldg 26 Suite 106, Golden, CO 80401 Phone: 303-422-9438 | |
Martin Harrison, M D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Kathleen Donelan Fedack, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Joseph Pruitt, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1216 Preserve Cir, Golden, CO 80401 Phone: 720-746-1846 Fax: 720-746-1848 | |
Wendy L Lawler, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Steven J Caputo, M D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 |