Allen Wallace, CRNA in Roosevelt, UT - Medicare Certified Registered Nurse Anesthetist (crna)

Allen Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roosevelt, Utah. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ubmc Anesthesiology and his current practice location is 250 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-6163.

Allen Wallace is licensed to practice in Utah (license number 192839-4406) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295798163.

Contact Information

	Allen Wallace, CRNA
	250 W 300 N, Roosevelt, UT 84066-2336
	(435) 722-6163
	(435) 722-9291

Map and Direction

Provider's Profile

Full Name	Allen Wallace
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	30 Years
Location	250 W 300 N, Roosevelt, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Allen Wallace graduated from nursing school in 1994

NPI Data:

NPI Number: 1295798163
Provider Enumeration Date: 04/10/2006
Last Update Date: 11/30/2007

Medicare PECOS Information:

PECOS PAC ID: 8022072164
Enrollment ID: I20041117001044

Medical Identifiers

Medical identifiers for Allen Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295798163	NPI	-	NPPES
D0808	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	192839-4406 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uintah Basin Medical Center	Roosevelt, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ubmc Anesthesiology	4981833381	4

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. Allen Wallace allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Ubmc Anesthesiology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043643877 PECOS PAC ID: 4981833381 Enrollment ID: O20140205001393

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. Allen 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 Address	Practice Location Address
Allen Wallace, CRNA 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-6163	Allen Wallace, CRNA 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-6163

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roosevelt, UT

Lucas C Reichert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1126 W Grayhawk Loop, Roosevelt, UT 84066 Phone: 207-659-8756
Trent Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Frank Guercio, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Steven R Knight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291

Allen Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Roosevelt, UT