| Jason R Wallace, DO | |
|
95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | |
| (970) 731-3700 | |
| Not Available |
| Full Name | Jason R Wallace |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 95 S Pagosa Blvd, Pagosa Springs, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992020937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0050788 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pagosa Springs Medical Center | Pagosa springs, CO | Hospital |
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services- Washington | 1557408176 | 177 |
| Upper San Juan Health Service District | 2769571892 | 32 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20091029000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Wallace, DO 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 | Jason R Wallace, DO 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 |
Mr. Nicholas Brian Kurz, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 B Talisman Drive #3, Pagosa Springs, CO 81147 Phone: 970-731-5252 Fax: 970-731-9922 | |
Dr. Robert Farrington Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3707 | |
Dr. Julie Buchner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3707 | |
Mrs. Carole Nasralla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 B Talisman Dr., #3, Pagosa Springs, CO 81147 Phone: 970-731-5252 Fax: 970-731-9922 | |
Peter Duncan Marshall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3707 | |
Dr. Corinne Reed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-9545 Fax: 970-731-0511 | |
Aashutosh Goswami, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3708 |