Miss Jenna Marie Wallace, RN | |
8000 E Maplewood Ave Ste 120, Greenwood Village, CO 80111-4766 | |
(303) 438-3999 | |
(720) 439-9500 |
Full Name | Miss Jenna Marie Wallace |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 8000 E Maplewood Ave Ste 120, Greenwood Village, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346819539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | APN.0999272-CRNA (Colorado) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | 711911 (New York) | Secondary |
Entity Name | Us Anesthesia Partners Of Colorado Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
Mailing Address | Practice Location Address |
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Miss Jenna Marie Wallace, RN Po Box 840862, Dallas, TX 75284-0862 Ph: (303) 377-7638 | Miss Jenna Marie Wallace, RN 8000 E Maplewood Ave Ste 120, Greenwood Village, CO 80111-4766 Ph: (303) 438-3999 |
Jennifer K Krogh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 E Maplewood Ave Ste 120, Greenwood Village, CO 80111 Phone: 303-438-3999 Fax: 720-439-9500 | |
Teresa Marie Rossetter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8000 E Maplewood Ave Ste 120, Greenwood Village, CO 80111 Phone: 303-438-3999 Fax: 720-439-9500 | |
Ashley Nicole Morton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 E Maplewood Ave Ste 120, Greenwood Village, CO 80111 Phone: 303-438-3999 Fax: 720-739-9500 | |
Brent E Mitchell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8200 E Belleview Ave, Greenwood Village, CO 80111 Phone: 303-290-0600 Fax: 303-290-6359 | |
Erin R Felkey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 E Maplewood Ave, Ste 200, Greenwood Village, CO 80111 Phone: 303-438-3999 Fax: 720-439-9500 | |
Angela Nichole Gardner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 E Maplewood Ave Ste 120, Greenwood Village, CO 80111 Phone: 303-438-3999 Fax: 720-439-9500 | |
Christopher Jeffrey Diem, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 E Maplewood Ave Ste 200, Greenwood Village, CO 80111 Phone: 303-785-4700 Fax: 720-439-9500 |