Wallace Eugene Ralston, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marshall, Missouri. His current practice location is
2305 S 65 Highway, Marshall, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 886-3554.
Wallace Eugene Ralston is licensed to practice in Missouri (license number 152532) 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 1972556447.
Provider's Profile
| Full Name | Wallace Eugene Ralston |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2305 S 65 Highway, Marshall, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wallace Eugene Ralston attended and graduated from in
NPI Data:
- NPI Number: 1972556447
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 03/05/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Wallace Eugene Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972556447 | NPI | - | NPPES |
| 30004543120001 | Medicaid | KS | |
| 918782004 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 152532 (Missouri) | Primary |
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. Wallace Eugene Ralston 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 |
|---|
Wallace Eugene Ralston, CRNA
2305 South 65 Highway,
Marshall, MO 65340-2640
Ph: (660) 886-7431 | Wallace Eugene Ralston, CRNA
2305 S 65 Highway,
Marshall, MO 65340
Ph: (660) 886-3554 |
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