Brenda Wallis, CRNA in Lufkin, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Brenda Wallis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lufkin, Texas. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Deep East Texas Anesthesia and her current practice location is 505 S John Redditt Dr, Lufkin, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 639-3036.

Brenda Wallis is licensed to practice in Texas (license number 072151) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477579688.

Contact Information

	Brenda Wallis, CRNA
	505 S John Redditt Dr, Lufkin, TX 75904-3120
	(936) 639-3036
	(936) 639-3064

Map and Direction

Provider's Profile

Full Name	Brenda Wallis
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	505 S John Redditt Dr, Lufkin, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brenda Wallis graduated from nursing school in 2004

NPI Data:

NPI Number: 1477579688
Provider Enumeration Date: 07/14/2006
Last Update Date: 03/05/2008

Medicare PECOS Information:

PECOS PAC ID: 6507827888
Enrollment ID: I20041020000633

Medical Identifiers

Medical identifiers for Brenda Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477579688	NPI	-	NPPES
84275U	Other	TX	BCBS
84279U	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	072151 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deep East Texas Anesthesia	3971906587	6

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. Brenda Wallis allows following entities to bill medicare on her behalf.

Entity Name	Ac Provider Services Of Texas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427280635 PECOS PAC ID: 5395883359 Enrollment ID: O20091112000394

Entity Name	Main Street Anesthesia Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700381761 PECOS PAC ID: 1052675667 Enrollment ID: O20180508000762

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

Entity Name	Deep East Texas Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942879580 PECOS PAC ID: 3971906587 Enrollment ID: O20210720002466

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. Brenda Wallis 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
Brenda Wallis, CRNA Po Box 151736, Lufkin, TX 75915-1736 Ph: () -	Brenda Wallis, CRNA 505 S John Redditt Dr, Lufkin, TX 75904-3120 Ph: (936) 639-3036

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lufkin, TX

Chad Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Sloan Ln, Lufkin, TX 75901 Phone: 936-465-4196
Daniel Testyon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064
Wendy Jo Plum, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3009 S John Redditt Dr # 168, Lufkin, TX 75904 Phone: 808-222-1712
Ms. Zeata May Rowe, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-7900
Jason Todd Nix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064
William Havens Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064
Jacob Sapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 214-932-1030

Brenda Wallis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lufkin, TX