Kerry Diane Wallace, CRNA in Gastonia, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Kerry Diane Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gastonia, North Carolina. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northern Colorado Anesthesia Professionals Pllc and her current practice location is 2525 Court Dr, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 834-4113.

Kerry Diane Wallace is licensed to practice in North Carolina (license number 087186) 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 1932499498.

Contact Information

	Kerry Diane Wallace, CRNA
	2525 Court Dr, Gastonia, NC 28054-2140
	(704) 834-4113
	Not Available

Map and Direction

Provider's Profile

Full Name	Kerry Diane Wallace
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	2525 Court Dr, Gastonia, North 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:

Kerry Diane Wallace graduated from nursing school in 2011

NPI Data:

NPI Number: 1932499498
Provider Enumeration Date: 04/18/2011
Last Update Date: 04/18/2011

Medicare PECOS Information:

PECOS PAC ID: 2466620216
Enrollment ID: I20190912001967

Medical Identifiers

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

Identifier	Type	State	Issuer
1932499498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	087186 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Colorado Anesthesia Professionals Pllc	6800878760	140

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. Kerry Diane Wallace allows following entities to bill medicare on her behalf.

Entity Name	Northern Colorado Anesthesia Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119

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. Kerry Diane 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
Kerry Diane Wallace, CRNA 1550 Union Rd Ste B, Gastonia, NC 28054-5522 Ph: (704) 864-8772	Kerry Diane Wallace, CRNA 2525 Court Dr, Gastonia, NC 28054-2140 Ph: (704) 834-4113

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gastonia, NC

Dennis Anthony Flores, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 380-070-4834 Fax: 704-834-2708
Mr. Robert Gaston Littlejohn Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000
Nicole Helen Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-4113
Sean Mccaffrey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2825
Mrs. Susan Michelle Barbee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000
Kaleisha Flythe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-3752
Madison Nicole Gallo, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2890

Kerry Diane Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gastonia, NC