Phyllis Marie Wallace, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Houston, TX

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Phyllis Marie Wallace, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Houston, Texas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mint Anesthesia, Pllc and her current practice location is 6560 Fannin St, Suite 600, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 796-0500.

Phyllis Marie Wallace is licensed to practice in Texas (license number AP117949) 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 1679708556.

Contact Information

Phyllis Marie Wallace, CRNA
6560 Fannin St, Suite 600,
Houston, TX 77030-2761
(713) 796-0500
Not Available

Map and Direction




Provider's Profile

Full NamePhyllis Marie Wallace
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location6560 Fannin St, Houston, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phyllis Marie Wallace graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1679708556
  • Provider Enumeration Date: 05/21/2009
  • Last Update Date: 06/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9335292671
  • Enrollment ID: I20090804000094

Medical Identifiers

Medical identifiers for Phyllis Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679708556NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 561885 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered AP117949 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mint Anesthesia, Pllc30728283428

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. Phyllis Marie Wallace allows following entities to bill medicare on her behalf.
Entity NameBayou Anesthesia And Pain Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114977139
PECOS PAC ID: 2264329150
Enrollment ID: O20040304000168
Entity NameNorthwest Anesthesiology & Pain Services, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629027511
PECOS PAC ID: 9638067408
Enrollment ID: O20040304001244
Entity NameAnesthesia Company Of Houston, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598038770
PECOS PAC ID: 4284897299
Enrollment ID: O20120531000130
Entity NameEpix Medical Services Of Houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417392200
PECOS PAC ID: 8527202167
Enrollment ID: O20130920000135
Entity NameMint Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790172187
PECOS PAC ID: 3072828342
Enrollment ID: O20150814014131

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. Phyllis Marie 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 AddressPractice Location Address
Phyllis Marie Wallace, CRNA
105 E. Sherwood Dr.,
Alvin, TX 77511

Ph: (832) 621-6220		Phyllis Marie Wallace, CRNA
6560 Fannin St, Suite 600,
Houston, TX 77030-2761

Ph: (713) 796-0500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Houston, TX

Editha A Flemming, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042
Phone: 713-620-4000    
Danielle Therese George, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042
Phone: 713-620-4000    Fax: 713-458-4229
Ryann Hattori, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 6701 Fannin St, Houston, TX 77030
Phone: 832-824-1000    
Rodrique Dewyane Nelson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042
Phone: 713-620-4000    Fax: 713-458-4229
Pedro Napoles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042
Phone: 972-715-5000    Fax: 972-715-9976
Alyssa Estill, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042
Phone: 713-620-4000    
Thomas Kyle Reynolds, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030
Phone: 713-798-1750    Fax: 713-798-4693

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.