Rachel Renee Wallace (NPI# 1669719175, PAC ID# 6204081656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1669719175 |
| PAC ID by PECOS | 6204081656 |
| Professional Enrollment ID | I20190617000691 |
| Full Name | Rachel Renee Wallace |
| Address |
1311 N Mildred Rd Cortez CO 81321-2231 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061327 | SOUTHWEST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Street Address |
1311 N MILDRED RD |
| City | CORTEZ |
| State | CO |
| Zip | 81321-2231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Gero | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Laura T Medina | General Surgery | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Susan Lou Laningham | Internal Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Jason L Bourland | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Devon C Daney | Family Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Kenneth Edward Ness | Internal Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Blair W Pyle | Internal Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Cody Alan Burke | Certified Registered Nurse Anesthetist (crna) | 1311 N Mildred Rd, Southwest Memorial Hosp, Cortez, CO 81321-2231 | |
| Kenton L Asche | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Tibor Mojzis | Hospitalist | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiviok G Hight | Chiropractic | 112 W Montezuma, Cortez, CO 81321 | |
| Lucia A Arriola-story | Qualified Audiologist | 892 Cottonwood St, Suite 2, Cortez, CO 81321-2200 | |
| Frank Weaver Iii | Audiologist | Montezuma Hearing Clinic Inc | 892 Cottonwood St, Suite 2, Cortez, CO 81321-2200 |
| Landon E Lavene | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Najib Chapman Johnson | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Kari B Cockrill | Occupational Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Debra Sue Berger | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Julie Maureen Carpenter | Occupational Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Serae Marie Mele | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Dee Kristine Prock | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Find all physicians in zip 81321 | |||
| City | CORTEZ |
| Zip Code | 81321 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CORTEZ + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Rachel Renee Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.