Amanda Fraser Wallace, MD - Medicare Pain Management in Golden, CO

Amanda Fraser Wallace, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Golden, Colorado. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Pain Management. She is a member of the group practice Yampa Valley Medical Center and her current practice location is 755 Heritage Rd, Golden, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 277-0700.

Amanda Fraser Wallace is licensed to practice in Colorado (license number 0052096) 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 1174750707.

Contact Information

Amanda Fraser Wallace, MD
755 Heritage Rd,
Golden, CO 80401-3600
(303) 277-0700
Not Available



Physician's Profile

Full NameAmanda Fraser Wallace
GenderFemale
SpecialityPain Management
Experience15 Years
Location755 Heritage Rd, Golden, Colorado
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:
  • Amanda Fraser Wallace graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1174750707
  • Provider Enumeration Date: 06/22/2009
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0446487136
  • Enrollment ID: I20131231000606

Medical Identifiers

Medical identifiers for Amanda Fraser Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174750707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology DR0052096 (Colorado)Secondary
207LP2900XAnesthesiology - Pain Medicine 0052096 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uchealth Yampa Valley Medical CenterSteamboat springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yampa Valley Medical Center5890685689122

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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. Amanda Fraser Wallace allows following entities to bill medicare on her behalf.
Entity NameYampa Valley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790787307
PECOS PAC ID: 5890685689
Enrollment ID: O20040316001301

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Entity NameArizona Pain Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700030939
PECOS PAC ID: 2668536418
Enrollment ID: O20141125001019

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Entity NameColorado Health Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962860528
PECOS PAC ID: 7214233535
Enrollment ID: O20160314001052

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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. Amanda Fraser 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
Amanda Fraser Wallace, MD
1818 E 7th Ave,
Denver, CO 80218-3645

Ph: () -
Amanda Fraser Wallace, MD
755 Heritage Rd,
Golden, CO 80401-3600

Ph: (303) 277-0700

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Antimicrobials improperly used about 50% of the time

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Anesthesiology Doctors in Golden, CO

Lynn R White, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401
Phone: 303-422-9438    Fax: 303-422-9474
Craig Richard Davis, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1819 Dever West Dr. Bldg 26 Suite 106, Golden, CO 80401
Phone: 303-422-9438    
Martin Harrison, M D
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401
Phone: 303-422-9438    Fax: 303-422-9474
Kathleen Donelan Fedack, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401
Phone: 303-422-9438    Fax: 303-422-9474
Joseph Pruitt, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1216 Preserve Cir, Golden, CO 80401
Phone: 720-746-1846    Fax: 720-746-1848
Wendy L Lawler, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401
Phone: 303-422-9438    Fax: 303-422-9474
Steven J Caputo, M D
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401
Phone: 303-422-9438    Fax: 303-422-9474

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