Robert Wallace, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jackson, TN

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Robert Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Tennessee. His current practice location is 367 Hospital Blvd, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 661-2227.

Robert Wallace is licensed to practice in Tennessee (license number 53447) 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 1003950288.

Contact Information

Robert Wallace, CRNA
367 Hospital Blvd,
Jackson, TN 38305-2080
(731) 661-2227
Not Available

Map and Direction




Provider's Profile

Full NameRobert Wallace
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location367 Hospital Blvd, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003950288
  • Provider Enumeration Date: 02/19/2007
  • Last Update Date: 11/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6204001910
  • Enrollment ID: I20180320000901

Medical Identifiers

Medical identifiers for Robert Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003950288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 53447 (Tennessee)Primary

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. Robert Wallace allows following entities to bill medicare on his behalf.
Entity NameBarnet Dulaney Perkins Eye Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349
Entity NameGateway Anesthesia And Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710026125
PECOS PAC ID: 0042314668
Enrollment ID: O20070409000257
Entity NameSummit Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821589144
PECOS PAC ID: 3971850892
Enrollment ID: O20180724002694
Entity NameSummit Anesthesia Pain Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598222812
PECOS PAC ID: 0547500563
Enrollment ID: O20190328001717

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. Robert 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
Robert Wallace, CRNA
367 Hospital Blvd,
Jackson, TN 38305-2080

Ph: (731) 661-2227		Robert Wallace, CRNA
367 Hospital Blvd,
Jackson, TN 38305-2080

Ph: (731) 661-2227

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jackson, TN

Brendan Mckinney,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-7070    Fax: 731-541-7075
Ryan Shephard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-7070    Fax: 731-541-7075
Daniel T Hurst, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 W Forest Ave, Jackson, TN 38301
Phone: 731-668-1853    Fax: 731-664-7731
Pamela J Austin, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 810 W Forest Ave, Jackson, TN 38301
Phone: 731-662-1853    Fax: 731-664-7731
Jason L. Hooper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Kenneth W Hutchinson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 17c Brentshire Square, Jackson, TN 38305
Phone: 731-664-1717    Fax: 731-664-7114

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.