| Ashley Montag Wallace, CRNA | |
|
3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | |
| (336) 718-5000 | |
| Not Available |
| Full Name | Ashley Montag Wallace |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 3333 Silas Creek Pkwy, Winston Salem, North Carolina |
| 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 |
|---|---|---|---|
| 1841073822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7981 (North Carolina) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 155542 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Park Hospital Llc | 4880595958 | 109 |
| Forsyth Memorial Hospital Inc | 9537071790 | 625 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Montag Wallace, CRNA 5239 Quail Forest Dr, Clemmons, NC 27012-9984 Ph: (707) 820-9919 | Ashley Montag Wallace, CRNA 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-5000 |
Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797 | |
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 |