Jason R Wallace, DO | |
95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | |
(970) 731-3700 | |
Not Available |
Full Name | Jason R Wallace |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 95 S Pagosa Blvd, Pagosa Springs, 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 |
---|---|---|---|
1992020937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DR.0050788 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pagosa Springs Medical Center | Pagosa springs, CO | Hospital |
Mercy Regional Medical Center | Durango, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Upper San Juan Health Service District | 2769571892 | 25 |
Entity Name | Upper San Juan Health Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659523058 PECOS PAC ID: 2769571892 Enrollment ID: O20090817000200 |
Mailing Address | Practice Location Address |
---|---|
Jason R Wallace, DO 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 | Jason R Wallace, DO 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 |
Mr. Nicholas Brian Kurz, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 B Talisman Drive #3, Pagosa Springs, CO 81147 Phone: 970-731-5252 Fax: 970-731-9922 | |
Dr. Robert Farrington Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3707 | |
Dr. Julie Buchner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3707 | |
Mrs. Carole Nasralla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 B Talisman Dr., #3, Pagosa Springs, CO 81147 Phone: 970-731-5252 Fax: 970-731-9922 | |
Peter Duncan Marshall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3707 | |
Dr. Corinne Reed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-9545 Fax: 970-731-0511 | |
Aashutosh Goswami, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-3708 |