Kenny Joe Wallen, DNP in Dillon, MT - Medicare Nurse Anesthetist, Certified Registered

Kenny Joe Wallen, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dillon, Montana. His current practice location is 600 State Hwy 91 S, Dillon, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 683-3000.

Kenny Joe Wallen is licensed to practice in Montana (license number 132231) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649628553.

Contact Information

	Kenny Joe Wallen, DNP
	600 State Hwy 91 S, Dillon, MT 59725-7379
	(406) 683-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenny Joe Wallen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	600 State Hwy 91 S, Dillon, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649628553
Provider Enumeration Date: 06/01/2016
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4183916182
Enrollment ID: I20171228002910

Medical Identifiers

Medical identifiers for Kenny Joe Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649628553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	132231 (Montana)	Primary
208VP0014X	Pain Medicine - Interventional Pain Medicine	132231 (Montana)	Secondary

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. Kenny Joe Wallen allows following entities to bill medicare on his behalf.

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770

Entity Name	Clinical Colleagues Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20150529001085

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. Kenny Joe Wallen 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
Kenny Joe Wallen, DNP 386 White Horse Loop, Bozeman, MT 59718-1223 Ph: (918) 906-1697	Kenny Joe Wallen, DNP 600 State Hwy 91 S, Dillon, MT 59725-7379 Ph: (406) 683-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dillon, MT

Dennis B. Hatfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-2323
Kathleen S Maunu, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3027
Gordon H. Lucas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Highway 91 South, Dillon, MT 59725 Phone: 406-683-3000
Mr. Cecil Timothy Jackson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3011

Kenny Joe Wallen, DNP - Medicare Nurse Anesthetist, Certified Registered in Dillon, MT