| Rachel Renee Wallace, CRNA | |
|
1311 N Mildred Rd, Cortez, CO 81321 | |
| (970) 555-6666 | |
| Not Available |
| Full Name | Rachel Renee Wallace |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1311 N Mildred Rd, Cortez, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669719175 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novus Colorado Professional Corporation | 0840694774 | 6 |
| Animas Anesthesia Associates Llc | 2668668997 | 3 |
| Entity Name | Animas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721714 PECOS PAC ID: 0143295428 Enrollment ID: O20081114000103 |
| Entity Name | Animas Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104148642 PECOS PAC ID: 2668668997 Enrollment ID: O20101129000104 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20191101001862 |
| Entity Name | Novus Colorado Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437723640 PECOS PAC ID: 0840694774 Enrollment ID: O20210813002050 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Renee Wallace, CRNA 35505 Road K.1, Mancos, CO 81328-8978 Ph: () - | Rachel Renee Wallace, CRNA 1311 N Mildred Rd, Cortez, CO 81321 Ph: (970) 555-6666 |
Mr. Robert Scott Steeves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2030 | |
Kenneth Hurd Picillo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 |