Amanda Fraser Wallace, MD | |
755 Heritage Rd, Golden, CO 80401-3600 | |
(303) 277-0700 | |
Not Available |
Full Name | Amanda Fraser Wallace |
---|---|
Gender | Female |
Speciality | Pain Management |
Experience | 15 Years |
Location | 755 Heritage Rd, Golden, 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 |
---|---|---|---|
1174750707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | DR0052096 (Colorado) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 0052096 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uchealth Yampa Valley Medical Center | Steamboat springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yampa Valley Medical Center | 5890685689 | 115 |
Entity Name | Yampa Valley Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790787307 PECOS PAC ID: 5890685689 Enrollment ID: O20040316001301 |
Entity Name | Arizona Pain Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700030939 PECOS PAC ID: 2668536418 Enrollment ID: O20141125001019 |
Entity Name | Colorado Health Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962860528 PECOS PAC ID: 7214233535 Enrollment ID: O20160314001052 |
Mailing Address | Practice Location Address |
---|---|
Amanda Fraser Wallace, MD 1818 E 7th Ave, Denver, CO 80218-3645 Ph: () - | Amanda Fraser Wallace, MD 755 Heritage Rd, Golden, CO 80401-3600 Ph: (303) 277-0700 |
Lynn R White, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Craig Richard Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1819 Dever West Dr. Bldg 26 Suite 106, Golden, CO 80401 Phone: 303-422-9438 | |
Martin Harrison, M D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Kathleen Donelan Fedack, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Joseph Pruitt, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1216 Preserve Cir, Golden, CO 80401 Phone: 720-746-1846 Fax: 720-746-1848 | |
Wendy L Lawler, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Steven J Caputo, M D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 |