James Ryan Wallace, CRNA in Knoxville, TN - Medicare Certified Registered Nurse Anesthetist (crna)

James Ryan Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Knoxville, Tennessee. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Blount Memorial Physician Group Inc and his current practice location is 1901 Clinch Ave, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 342-9098.

James Ryan Wallace is licensed to practice in Tennessee (license number APN0000027641) 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 1003368259.

Contact Information

	James Ryan Wallace, CRNA
	1901 Clinch Ave, Knoxville, TN 37916-2307
	(865) 342-9098
	Not Available

Map and Direction

Provider's Profile

Full Name	James Ryan Wallace
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	1901 Clinch Ave, Knoxville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

James Ryan Wallace graduated from nursing school in 2016

NPI Data:

NPI Number: 1003368259
Provider Enumeration Date: 11/03/2016
Last Update Date: 01/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7315214293
Enrollment ID: I20201001001113

Medical Identifiers

Medical identifiers for James Ryan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003368259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP9386073 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APN0000027641 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Blount Memorial Hospital	Maryville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blount Memorial Physician Group Inc	6406844174	234

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. James Ryan Wallace allows following entities to bill medicare on his behalf.

Entity Name	Blount Memorial Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547

Entity Name	American Anesthesiology Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364

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. James Ryan 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 Address	Practice Location Address
James Ryan Wallace, CRNA Po Box 10963, Knoxville, TN 37939-0963 Ph: () -	James Ryan Wallace, CRNA 1901 Clinch Ave, Knoxville, TN 37916-2307 Ph: (865) 342-9098

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Knoxville, TN

Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787
Alejandro Conde, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787
Matthew Townsend Mustard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-331-1111
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787

James Ryan Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Knoxville, TN