Dr Brian Edward Wallace, MD | |
400 E Pioneer Ave, Suite 101, Puyallup, WA 98372-3255 | |
(253) 445-5828 | |
Not Available |
Full Name | Dr Brian Edward Wallace |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 400 E Pioneer Ave, Puyallup, Washington |
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 |
---|---|---|---|
1790017028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD 60120035 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
Multicare Auburn Medical Center | Auburn, WA | Hospital |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rainier Anesthesia Associates Pc | 4284523499 | 63 |
Entity Name | Rainier Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487637013 PECOS PAC ID: 4284523499 Enrollment ID: O20040315000756 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Edward Wallace, MD 400 E Pioneer Ave, Suite 101, Puyallup, WA 98372-3255 Ph: (253) 445-5828 | Dr Brian Edward Wallace, MD 400 E Pioneer Ave, Suite 101, Puyallup, WA 98372-3255 Ph: (253) 445-5828 |
Christina Julian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1519 3rd St Se Ste 101, Puyallup, WA 98372 Phone: 253-841-8939 Fax: 253-841-5944 | |
Will O Blankenship, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 E Pioneer, Ste. 208, Puyallup, WA 98372 Phone: 253-445-5828 | |
Thomas P Kennedy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 400 E Pioneer, Ste 208, Puyallup, WA 98372 Phone: 253-445-5828 | |
William R Rinker, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 400 E Pioneer Ste 101, Puyallup, WA 98372 Phone: 253-445-5828 | |
Dr. Kathy I-wen Wang, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1519 3rd St Se Ste 101, Puyallup, WA 98372 Phone: 253-841-8939 Fax: 253-841-5944 | |
Dr. Michael William Gilliland, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1322 3rd St Se, Suite 100, Puyallup, WA 98372 Phone: 253-697-4128 | |
Michael D Cull, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 400 E Pioneer, Ste 208, Puyallup, WA 98372 Phone: 253-445-5828 |