Crawford Reed Wallace Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carriere, Mississippi. His current practice location is
32 Clear Sky Dr, Carriere, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 337-0700.
Crawford Reed Wallace Jr is licensed to practice in Mississippi (license number R881469) 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 1598108896.
Provider's Profile
| Full Name | Crawford Reed Wallace Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 32 Clear Sky Dr, Carriere, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Crawford Reed Wallace Jr attended and graduated from in
NPI Data:
- NPI Number: 1598108896
- Provider Enumeration Date: 04/17/2013
- Last Update Date: 02/22/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Crawford Reed Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598108896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R881469 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R881469 (Mississippi) | Primary |
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. Crawford Reed Wallace Jr 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 |
|---|
Crawford Reed Wallace Jr, CRNA
32 Clear Sky Dr,
Carriere, MS 39426-7818
Ph: (601) 337-0700 | Crawford Reed Wallace Jr, CRNA
32 Clear Sky Dr,
Carriere, MS 39426-7818
Ph: (601) 337-0700 |
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