Stephanie E Wallace, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fpo, AE

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Stephanie E Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Fpo, Armed Forces Europe. Her current practice location is Psc 836, Box 122, Fpo, Armed Forces Europe. You can reach out to her office (for appointments etc.) via phone at (570) 573-4343.

Stephanie E Wallace is licensed to practice in California (license number 95001098) 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
Psc 836, Box 122,
Fpo, AE 09636
(570) 573-4343
Not Available

Map and Direction




Physician's Profile

Full NameStephanie E Wallace
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
LocationPsc 836, Fpo, Armed Forces Europe
Accepts Medicare AssignmentsMedicare 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: 05/27/2025
  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.
IdentifierTypeStateIssuer
1427534718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 95001092 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 95001098 (California)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 NameUnited Medical Doctors
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770559981
PECOS PAC ID: 2961305651
Enrollment ID: O20040129001069
Entity NameTemecula Ca Endoscopy Asc Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285863696
PECOS PAC ID: 4981645678
Enrollment ID: O20090730000041
Entity NameTemecula Ca United Surgery Center Lp
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI 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 AddressPractice Location Address
Stephanie E Wallace, CRNA
Psc 836, Box 122,
Fpo, AE 09636

Ph: (570) 573-4343		Stephanie E Wallace, CRNA
Psc 836, Box 122,
Fpo, AE 09636

Ph: (570) 573-4343

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.