Dr Austin Fisher Wallace, MD | |
1010 Three Springs Blvd, Suite 294, Durango, CO 81301-8296 | |
(970) 247-4311 | |
(970) 764-3894 |
Full Name | Dr Austin Fisher Wallace |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 1010 Three Springs Blvd, Durango, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437356193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 7087070-1205 (Utah) | Secondary |
207R00000X | Internal Medicine | MDR-5299 (Hawaii) | Secondary |
207L00000X | Anesthesiology | DR.0053508 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Durango, CO | Hospital |
Animas Surgical Hospital, Llc | Durango, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Anesthesia Partners Of Colorado Inc | 6002072055 | 570 |
The Anesthesia Medical Group Inc | 1254234842 | 24 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Entity Name | Us Anesthesia Partners Of Colorado Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
Mailing Address | Practice Location Address |
---|---|
Dr Austin Fisher Wallace, MD 1010 Three Springs Blvd, Suite 294, Durango, CO 81301-8296 Ph: (970) 247-4311 | Dr Austin Fisher Wallace, MD 1010 Three Springs Blvd, Suite 294, Durango, CO 81301-8296 Ph: (970) 247-4311 |
Holly Munnis Meunier, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-946-4229 | |
Rachel B Beach, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-247-4311 | |
Jonathan James Fox, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Suite 294, Durango, CO 81301 Phone: 970-764-3207 Fax: 970-764-3338 | |
Mark T Murphy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-247-4311 | |
Gregory Wyett Deem, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-3207 Fax: 970-764-3789 | |
Michael D Mccallum, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-247-4311 |