Shane K Wallace is a Pikeville, Kentucky based nurse anesthetist with 17 years of experience as Nurse Anesthetist. He completed he graduation in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shane K Wallace is 3008218 for Anesthesia Administration in Kentucky. his current practice location is 911 Bypass Rd Bldg A, Pikeville. Patients can reach him at 606-430-3500 or can fax him at 606-437-1033. Shane K Wallace is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1235378605. Shane K Wallace is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Shane K Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
911 Bypass Rd Bldg A, Pikeville, Kentucky, 41501-1689
Phone:
606-430-3500
Fax:
606-437-1033
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2668520750
Enrollment ID:
I20131010001011
NPI Number:
1235378605
NPI Enumeration Date:
09 Feb, 2009
NPI Last Update On:
02 Aug, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane K Wallace are as mentioned below.
License Number
Specialization
State
Status
3008218
Anesthesia Administration
Kentucky
Primary
0001179608
Registered Nurse
Virginia
Secondary
0024168171
Anesthesia Administration
Virginia
Secondary
33501
Anesthesia Administration
Tennessee
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Pikeville Medical Center (180044)
Pikeville, KY
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Shane K Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pikeville Medical Center Inc (6709790157)
278
Other Medical Identifiers:
Other legacy medical identifiers associated with Shane K Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1235378605
Medicaid
Virginia
7100075570
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 432, Pikeville, Kentucky
Zip:
41502-0432
Phone Number:
606-430-3500
Fax Number:
606-437-1033
Patients can reach Shane K Wallace at 911 Bypass Rd Bldg A, Pikeville, Kentucky or can call to book an appointment on 606-430-3500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.