Annmarie Wallace, CRNA | |
7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | |
(210) 575-4076 | |
Not Available |
Full Name | Annmarie Wallace |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 7700 Floyd Curl Dr, San Antonio, Texas |
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 |
---|---|---|---|
1902855612 | NPI | - | NPPES |
100153 | Other | OH | EMPLOYER KAISER GROUP # |
120766 | Other | OH | KAISER PERMANENTE INDV # |
34-0891295 | Other | OH | EMPLOYER FEDERAL TAX ID # |
7091249 | Medicaid | OH | |
000000220486 | Other | OH | ANTHEM BCBS INDV # |
89594U | Other | TX | BCBS |
730559 | Other | OH | BUCKEYE COMMUNITY HLTH PL |
182095303 | Medicaid | TX | |
2274926 | Medicaid | OH | |
2080224 | Other | OH | UNITED HEALTHCARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN-258973 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 733121 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Guadalupe Regional Medical Center | Seguin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergenchealth Pllc | 1355606641 | 585 |
Anesthesia Associates Of Seguin Pllc | 4284620592 | 17 |
Entity Name | Pinnacle Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457342297 PECOS PAC ID: 7416850896 Enrollment ID: O20040330000217 |
Entity Name | Anesthesia Associates Of Seguin Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265458673 PECOS PAC ID: 4284620592 Enrollment ID: O20040422000610 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Entity Name | Guardian Angel Anesthesia Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932468931 PECOS PAC ID: 5799940912 Enrollment ID: O20120712000751 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Mailing Address | Practice Location Address |
---|---|
Annmarie Wallace, CRNA Po Box 650426, Dallas, TX 75265-0426 Ph: (972) 233-1999 | Annmarie Wallace, CRNA 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 Ph: (210) 575-4076 |
Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811 | |
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911 | |
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500 | |
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100 | |
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572 | |
Edgar Ray Conatser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500 Fax: 210-567-0083 | |
Dr. Brandon Jay Trevino, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 |