Hailey D Wallace, CRNA - Medicare Nurse Anesthetist, Certified Registered in Columbus, OH

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Hailey D Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Columbus, Ohio. Her current practice location is 930 Bethel Rd, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 451-0500.

Hailey D Wallace is licensed to practice in Ohio (license number CRNA.019718) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104305432.

Contact Information

Hailey D Wallace, CRNA
930 Bethel Rd,
Columbus, OH 43214-1906
(614) 451-0500
Not Available

Map and Direction




Provider's Profile

Full NameHailey D Wallace
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location930 Bethel Rd, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104305432
  • Provider Enumeration Date: 08/08/2018
  • Last Update Date: 08/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1658620711
  • Enrollment ID: I20180822002245

Medical Identifiers

Medical identifiers for Hailey D Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104305432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA.019718 (Ohio)Primary

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. Hailey D Wallace allows following entities to bill medicare on her behalf.
Entity NamePremier Anesthesiologists, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154473494
PECOS PAC ID: 0143296061
Enrollment ID: O20040902000569

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. Hailey D 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 AddressPractice Location Address
Hailey D Wallace, CRNA
750 Cross Pointe Rd Ste C,
Gahanna, OH 43230-6692

Ph: (614) 761-1255		Hailey D Wallace, CRNA
930 Bethel Rd,
Columbus, OH 43214-1906

Ph: (614) 451-0500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Columbus, OH

Ronee D Trussel, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220
Phone: 614-457-2306    Fax: 614-884-0776
Rachel Marie Ashworth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-8487    
Tony Tre Lybarger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Grant Ave Fl 3, Columbus, OH 43215
Phone: 614-566-9871    
Mary Carol F Shurman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-8487    Fax: 614-293-8153
Gina M. Reno, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 410 W 10th Ave, N416 Doan Hall, Columbus, OH 43210
Phone: 614-293-4705    
Alyson F. Kuhn, APRN.CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 410 W 10th Ave, Columbus, OH 43210
Phone: 614-293-8487    Fax: 614-293-8153
Lisa Christine Novak, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214
Phone: 614-566-4919    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.