Crawford Reed Wallace Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Carriere, MS

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Crawford Reed Wallace Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carriere, Mississippi. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Deep South Anesthesia, Inc and his current practice location is 32 Clear Sky Dr, Carriere, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 337-0700.

Crawford Reed Wallace Jr is licensed to practice in Mississippi (license number R881469) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598108896.

Contact Information

Crawford Reed Wallace Jr, CRNA
32 Clear Sky Dr,
Carriere, MS 39426-7818
(601) 337-0700
Not Available

Map and Direction




Provider's Profile

Full NameCrawford Reed Wallace Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location32 Clear Sky Dr, Carriere, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crawford Reed Wallace Jr graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1598108896
  • Provider Enumeration Date: 04/17/2013
  • Last Update Date: 02/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8123269727
  • Enrollment ID: I20141014001346

Medical Identifiers

Medical identifiers for Crawford Reed Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598108896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R881469 (Mississippi)Secondary
367500000XNurse Anesthetist, Certified Registered R881469 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Highland Community HospitalPicayune, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deep South Anesthesia, Inc42848976125

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. Crawford Reed Wallace Jr allows following entities to bill medicare on his behalf.
Entity NameDelta Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790701134
PECOS PAC ID: 6608775531
Enrollment ID: O20040108000636
Entity NamePremier Anesthesia Of Mississippi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033400197
PECOS PAC ID: 5597933036
Enrollment ID: O20110801000660
Entity NameDeep South Anesthesia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164738712
PECOS PAC ID: 4284897612
Enrollment ID: O20120523000317
Entity NameDelta Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447818026
PECOS PAC ID: 9830593821
Enrollment ID: O20210812003936

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. Crawford Reed Wallace Jr 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
Crawford Reed Wallace Jr, CRNA
32 Clear Sky Dr,
Carriere, MS 39426-7818

Ph: (601) 337-0700		Crawford Reed Wallace Jr, CRNA
32 Clear Sky Dr,
Carriere, MS 39426-7818

Ph: (601) 337-0700

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Carriere, MS

Scott Stewart Carroll, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 33 Scenic Meadow Dr, Carriere, MS 39426
Phone: 601-569-4818    

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.