Dallas Mckenzie Wise, CRNA in Orangeburg, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Dallas Mckenzie Wise, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Orangeburg, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Beach Anesthesia, Llc, Musc Community Physicians and her current practice location is 3000 Saint Matthews Rd, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 533-2200.

Dallas Mckenzie Wise is licensed to practice in South Carolina (license number 21068) 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 1962944009.

Contact Information

	Dallas Mckenzie Wise, CRNA
	3000 Saint Matthews Rd, Orangeburg, SC 29118-1442
	(803) 533-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Dallas Mckenzie Wise
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	3000 Saint Matthews Rd, Orangeburg, South Carolina
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:

Dallas Mckenzie Wise attended and graduated from University Of South Carolina School Of Medicine in 2022

NPI Data:

NPI Number: 1962944009
Provider Enumeration Date: 11/07/2016
Last Update Date: 06/16/2017

Medicare PECOS Information:

PECOS PAC ID: 5799056685
Enrollment ID: I20170810003811

Medical Identifiers

Medical identifiers for Dallas Mckenzie Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962944009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	217912 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	21068 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beach Anesthesia, Llc	6103924014	64
Musc Community Physicians	6507260668	793

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. Dallas Mckenzie Wise allows following entities to bill medicare on her behalf.

Entity Name	Beach Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620

Entity Name	Atlantic Coast Anesthesia Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291

Entity Name	Palmetto Moon Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477056794 PECOS PAC ID: 4789931304 Enrollment ID: O20180727000105

Entity Name	Ams South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376021626 PECOS PAC ID: 4486988862 Enrollment ID: O20190619002430

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Dallas Mckenzie Wise 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
Dallas Mckenzie Wise, CRNA 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 Ph: () -	Dallas Mckenzie Wise, CRNA 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 Ph: (803) 533-2200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Orangeburg, SC

Mr. Harold William Allerton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Eileen Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-747-9889 Fax: 803-747-9889
Mr. William E Cawthon, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Sabrina T Gonzalez, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Hilliary Goode, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Melvin Stanaway, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-454-2613 Fax: 803-765-1732
Patrick B. Riley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-454-2613 Fax: 803-765-1732

Dallas Mckenzie Wise, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Orangeburg, SC