Mr Wallace Edgar Lawson, CRNA in Manassas, VA - Medicare Nurse Anesthetist, Certified Registered

Mr Wallace Edgar Lawson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Manassas, Virginia. His current practice location is 8700 Sudley Road, Manassas, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 437-4334.

Mr Wallace Edgar Lawson is licensed to practice in Virginia (license number 24116782) 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 1609985241.

Contact Information

	Mr Wallace Edgar Lawson, CRNA
	8700 Sudley Road, Manassas, VA 20110-4418
	(571) 437-4334
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Wallace Edgar Lawson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	8700 Sudley Road, Manassas, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609985241
Provider Enumeration Date: 08/29/2006
Last Update Date: 03/07/2011

Medicare PECOS Information:

PECOS PAC ID: 6406952274
Enrollment ID: I20070511000106

Medical Identifiers

Medical identifiers for Mr Wallace Edgar Lawson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609985241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	24116782 (Virginia)	Primary
367500000X	Nurse Anesthetist, Certified Registered	AC000817 (Maryland)	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. Mr Wallace Edgar Lawson allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

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	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210305001705

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. Mr Wallace Edgar Lawson 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
Mr Wallace Edgar Lawson, CRNA 8323 Suffolk Way, Gainesville, VA 20155-1778 Ph: (571) 437-4334	Mr Wallace Edgar Lawson, CRNA 8700 Sudley Road, Manassas, VA 20110-4418 Ph: (571) 437-4334

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Manassas, VA

Jeanne Harris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-392-6199
Abigail Ofori, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000
Meskir Kidane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000
Ronald J Chiapusio Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8525
Debra Manalad, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 800-394-4445
Gerald Whitman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-392-6199
Suni Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000

Mr Wallace Edgar Lawson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Manassas, VA