Mr Gregory Scott Wallis, CRNA in Nacogdoches, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Gregory Scott Wallis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Nacogdoches, Texas. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Youngs Professional Services Llc and his current practice location is 1204 N Mound St, Nacogdoches, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 568-8444.

Mr Gregory Scott Wallis is licensed to practice in Texas (license number 630401) 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 1376698290.

Contact Information

	Mr Gregory Scott Wallis, CRNA
	1204 N Mound St, Nacogdoches, TX 75961-4027
	(936) 568-8444
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gregory Scott Wallis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	1204 N Mound St, Nacogdoches, Texas
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:

Mr Gregory Scott Wallis graduated from nursing school in 2004

NPI Data:

NPI Number: 1376698290
Provider Enumeration Date: 01/23/2007
Last Update Date: 11/04/2014

Medicare PECOS Information:

PECOS PAC ID: 5496718942
Enrollment ID: I20041105000880

Medical Identifiers

Medical identifiers for Mr Gregory Scott Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376698290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	630401 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nacogdoches County Hospital District	Nacogdoches, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Youngs Professional Services Llc	2163524992	148

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. Mr Gregory Scott Wallis allows following entities to bill medicare on his behalf.

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614

Entity Name	Main Street Anesthesia Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700381761 PECOS PAC ID: 1052675667 Enrollment ID: O20180508000762

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. Mr Gregory Scott Wallis 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
Mr Gregory Scott Wallis, CRNA 106 County Road 253, Nacogdoches, TX 75965-6980 Ph: (936) 554-7297	Mr Gregory Scott Wallis, CRNA 1204 N Mound St, Nacogdoches, TX 75961-4027 Ph: (936) 568-8444

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Nacogdoches, TX

Ms. Nancy Joanne Batzloff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 919 County Road 2131, Nacogdoches, TX 75965 Phone: 936-560-1338
Wallace D Womack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8525
Mr. Ronald Anthony Freeland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-564-4611
James Robert Stockman Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-569-4164
Mr. Jerry L Mixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 Fax: 936-462-4333
Mrs. Kendra Brooks Stockman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3610 N University Dr, Nacogdoches, TX 75965 Phone: 936-254-4703
Mr. James H. Newberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444

Mr Gregory Scott Wallis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Nacogdoches, TX