Lisa Marie Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Macon, GA

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Lisa Marie Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Macon, Georgia. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Epix Anesthesia Of Alabama Llc, Ambulatory Management Llc and her current practice location is 777 Hemlock St, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 633-1000.

Lisa Marie Wallace is licensed to practice in Alabama (license number 1-097840) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548439375.

Contact Information

Lisa Marie Wallace, CRNA
777 Hemlock St,
Macon, GA 31201-2102
(478) 633-1000
Not Available

Map and Direction




Provider's Profile

Full NameLisa Marie Wallace
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location777 Hemlock St, Macon, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Marie Wallace graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1548439375
  • Provider Enumeration Date: 02/26/2008
  • Last Update Date: 06/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0749366276
  • Enrollment ID: I20080918000069

Medical Identifiers

Medical identifiers for Lisa Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548439375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1-097840 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center EnterpriseEnterprise, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epix Anesthesia Of Alabama Llc802230074831
Ambulatory Management Llc94365011789

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. Lisa Marie Wallace allows following entities to bill medicare on her behalf.
Entity NamePremier Anesthesia Of Montgomery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780636233
PECOS PAC ID: 5799684148
Enrollment ID: O20040105000491
Entity NameHouston County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026606
PECOS PAC ID: 9436062296
Enrollment ID: O20040219000209
Entity NameSouthern Alabama Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346349164
PECOS PAC ID: 2062461460
Enrollment ID: O20050112000767
Entity NameEpix Anesthesia Of Alabama Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629427059
PECOS PAC ID: 8022300748
Enrollment ID: O20160715001459
Entity NameVeronox Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669951604
PECOS PAC ID: 0143572891
Enrollment ID: O20181009000934
Entity NameAmbulatory Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003690744
PECOS PAC ID: 9436501178
Enrollment ID: O20240118002640

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. Lisa Marie 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 AddressPractice Location Address
Lisa Marie Wallace, CRNA
598 3rd St,
Macon, GA 31201-3357

Ph: (478) 633-6706		Lisa Marie Wallace, CRNA
777 Hemlock St,
Macon, GA 31201-2102

Ph: (478) 633-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Macon, GA

Virginia Garrison Crouse, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Angela D Jenkins I, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr., Ste 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Richard A Scherer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 866-507-5244    Fax: 855-851-4405
Demetra D Mcglothin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 866-507-5244    Fax: 855-851-4405
Mr. Keath L. Morgan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Kelli Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 478-746-5644    Fax: 478-745-4849
Rickey King, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-6706    Fax: 478-633-5384

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.