James Ryan Wallace, CRNA | |
1901 Clinch Ave, Knoxville, TN 37916-2307 | |
(865) 342-9098 | |
Not Available |
Full Name | James Ryan Wallace |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 1901 Clinch Ave, Knoxville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003368259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP9386073 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN0000027641 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blount Memorial Hospital | Maryville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blount Memorial Physician Group Inc | 6406844174 | 229 |
Entity Name | Mmc Anesthesia Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
Entity Name | Blount Memorial Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
Entity Name | American Anesthesiology Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Mailing Address | Practice Location Address |
---|---|
James Ryan Wallace, CRNA Po Box 10963, Knoxville, TN 37939-0963 Ph: () - | James Ryan Wallace, CRNA 1901 Clinch Ave, Knoxville, TN 37916-2307 Ph: (865) 342-9098 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Alejandro Conde, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Wanda White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |