John Wallace, CRNA in Las Cruces, NM - Medicare Certified Registered Nurse Anesthetist (crna)

John Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Las Cruces, New Mexico. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Novus Colorado Professional Corporation, Yakima Valley Memorial Physicians and his current practice location is 4351 E Lohman Ave, Las Cruces, New Mexico. You can reach out to his office (for appointments etc.) via phone at (970) 216-5385.

John Wallace is licensed to practice in New Mexico (license number CRNA 01415) 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 1265891295.

Contact Information

	John Wallace, CRNA
	4351 E Lohman Ave, Las Cruces, NM 88011-8259
	(970) 216-5385
	Not Available

Map and Direction

Provider's Profile

Full Name	John Wallace
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	4351 E Lohman Ave, Las Cruces, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Wallace graduated from nursing school in 2015

NPI Data:

NPI Number: 1265891295
Provider Enumeration Date: 02/18/2016
Last Update Date: 05/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5395038319
Enrollment ID: I20210524001689

Medical Identifiers

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

Identifier	Type	State	Issuer
1265891295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APN.0996269-CRNA (Colorado)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209021371 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2355 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	10406-33 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP61248892 (Washington)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA 01415 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southwest Memorial Hospital	Cortez, CO	Hospital
Virginia Mason Memorial	Yakima, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novus Colorado Professional Corporation	0840694774	7
Yakima Valley Memorial Physicians	1557391596	257

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. John Wallace allows following entities to bill medicare on his behalf.

Entity Name	Animas Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104148642 PECOS PAC ID: 2668668997 Enrollment ID: O20101129000104

Entity Name	Novus Colorado Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437723640 PECOS PAC ID: 0840694774 Enrollment ID: O20210813002050

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. John 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
John Wallace, CRNA Po Box 436, Ouray, CO 81427-0436 Ph: (970) 216-5385	John Wallace, CRNA 4351 E Lohman Ave, Las Cruces, NM 88011-8259 Ph: (970) 216-5385

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Las Cruces, NM

Aaron Villarreal, CRNA,NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 Phone: 575-205-0280 Fax: 575-600-6010
Jessica Quinteros, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd, Las Cruces, NM 88011 Phone: 915-920-1747
Andrew Jason Costin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641
Randall Alan Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641
Daniel F Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-7033
Ms. Catherine Elizabeth Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011 Phone: 575-541-4206 Fax: 575-339-6001
Brett A Skattum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641

John Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Las Cruces, NM