Cleopatra Wallace, CRNA in Macon, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Cleopatra Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Macon, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Piedmont Anesthesia Llc, American Anesthesiology Associates Of Georgia Llc and her current practice location is 777 Hemlock St, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 633-2147.

Cleopatra Wallace is licensed to practice in Georgia (license number RN181636) 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 1679959852.

Contact Information

	Cleopatra Wallace, CRNA
	777 Hemlock St, Macon, GA 31201-2102
	(478) 633-2147
	(478) 742-9670

Map and Direction

Provider's Profile

Full Name	Cleopatra Wallace
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	777 Hemlock St, Macon, Georgia
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:

Cleopatra Wallace graduated from nursing school in 2015

NPI Data:

NPI Number: 1679959852
Provider Enumeration Date: 08/10/2015
Last Update Date: 03/12/2018

Medicare PECOS Information:

PECOS PAC ID: 8325347206
Enrollment ID: I20160427001104

Medical Identifiers

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

Identifier	Type	State	Issuer
1679959852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN181636 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN181636 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical Center, Navicent Health (the)	Macon, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Anesthesia Llc	2163837972	157
American Anesthesiology Associates Of Georgia Llc	7618934779	209

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. Cleopatra Wallace allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Associates Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442

Entity Name	Anesthesia Consultants Of Savannah, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679774343 PECOS PAC ID: 7911098660 Enrollment ID: O20070809000242

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

Entity Name	Piedmont Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823

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. Cleopatra 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
Cleopatra Wallace, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839	Cleopatra Wallace, CRNA 777 Hemlock St, Macon, GA 31201-2102 Ph: (478) 633-2147

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Macon, GA

Virginia Garrison Crouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849
Angela D Jenkins I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr., Ste 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849
Richard A Scherer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405
Demetra D Mcglothin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405
Mr. Keath L. Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849
Kelli Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849
Rickey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384

Cleopatra Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Macon, GA