Wallace Eugene Ralston, CRNA | |
2305 S 65 Highway, Marshall, MO 65340 | |
(660) 886-3554 | |
(660) 831-3308 |
Full Name | Wallace Eugene Ralston |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 2305 S 65 Highway, Marshall, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972556447 | NPI | - | NPPES |
30004543120001 | Medicaid | KS | |
918782004 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 152532 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fitzgibbon Memorial Hospital | Marshall, MO | Hospital |
Cedar County Memorial Hospital | El dorado springs, MO | Hospital |
Bothwell Regional Health Center | Sedalia, MO | Hospital |
Truman Medical Center Hospital Hill | Kansas city, MO | Hospital |
Truman Medical Center Lakewood | Kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John Fitzgibbon Memorial Hospital Inc | 2567351570 | 89 |
Truman Medical Center Incorporated | 7315841418 | 213 |
Entity Name | Truman Medical Center Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847 |
Entity Name | Plaza Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689855694 PECOS PAC ID: 7517045842 Enrollment ID: O20080426000020 |
Entity Name | John Fitzgibbon Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285650176 PECOS PAC ID: 2567351570 Enrollment ID: O20080708000234 |
Entity Name | Fulton Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1417367665 PECOS PAC ID: 7810211398 Enrollment ID: O20150123001617 |
Entity Name | Apollo Medical Group Of Lees Summit Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437784329 PECOS PAC ID: 4183055254 Enrollment ID: O20200506001411 |
Entity Name | Noble Health Audrain Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447841168 PECOS PAC ID: 0446667299 Enrollment ID: O20210430001237 |
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 |
Ross M. Howitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2305 S Highway 65, Marshall, MO 65340 Phone: 660-886-7431 |