Rachel Renee Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cortez, Colorado. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Novus Colorado Professional Corporation, Animas Anesthesia Associates Llc and her current practice location is
1311 N Mildred Rd, Cortez, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 555-6666.
Rachel Renee Wallace is licensed to practice in Colorado (license number C-APN.0001428-C-CRNA) 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 1669719175.
Provider's Profile
| Full Name | Rachel Renee Wallace |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 14 Years |
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| Location | 1311 N Mildred Rd, Cortez, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Rachel Renee Wallace graduated from nursing school in 2012
NPI Data:
- NPI Number: 1669719175
- Provider Enumeration Date: 01/04/2013
- Last Update Date: 08/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204081656
- Enrollment ID: I20190617000691
Medical Identifiers
Medical identifiers for Rachel Renee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669719175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | R0088890 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0001428-C-CRNA (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Novus Colorado Professional Corporation | 0840694774 | 12 |
| Animas Anesthesia Associates Llc | 2668668997 | 8 |
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. Rachel Renee Wallace allows following entities to bill medicare on her behalf.
| Entity Name | Animas Surgical Hospital LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861721714 PECOS PAC ID: 0143295428 Enrollment ID: O20081114000103 |
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| Entity Name | Animas Anesthesia Associates LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104148642 PECOS PAC ID: 2668668997 Enrollment ID: O20101129000104 |
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| Entity Name | Novus Colorado Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437723640 PECOS PAC ID: 0840694774 Enrollment ID: O20210813002050 |
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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. Rachel Renee 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 |
Rachel Renee Wallace, CRNA 35505 Road K.1, Mancos, CO 81328-8978 Ph: Not Available | Rachel Renee Wallace, CRNA 1311 N Mildred Rd, Cortez, CO 81321 Ph: (970) 555-6666 |
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