Kenny Joe Wallen, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Dillon, MT

Kenny Joe Wallen, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dillon, Montana. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Scl Health Medical Group-butte Llc, Community Hospital Of Anaconda and his current practice location is 600 State Hwy 91 S, Dillon, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 683-3000.

Kenny Joe Wallen is licensed to practice in Montana (license number 132231) 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 1649628553.

Contact Information

Kenny Joe Wallen, DNP
600 State Hwy 91 S,
Dillon, MT 59725-7379
(406) 683-3000
Not Available



Provider's Profile

Full NameKenny Joe Wallen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location600 State Hwy 91 S, Dillon, Montana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenny Joe Wallen graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1649628553
  • Provider Enumeration Date: 06/01/2016
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183916182
  • Enrollment ID: I20190730003670

Medical Identifiers

Medical identifiers for Kenny Joe Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649628553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 132231 (Montana)Primary
208VP0014XPain Medicine - Interventional Pain Medicine 132231 (Montana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St James HealthcareButte, MTHospital
Community Hospital Of AnacondaAnaconda, MTHospital
Barrett Hospital & HealthcareDillon, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scl Health Medical Group-butte Llc246663310280
Community Hospital Of Anaconda812393897424

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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. Kenny Joe Wallen allows following entities to bill medicare on his behalf.
Entity NameCommunity Hospital Of Anaconda
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1205887924
PECOS PAC ID: 8123938974
Enrollment ID: O20030507000045

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Entity NameCommunity Hospital Of Anaconda
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538597703
PECOS PAC ID: 8123938974
Enrollment ID: O20031119000745

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Entity NameLivingston Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245222306
PECOS PAC ID: 5991613598
Enrollment ID: O20031122000111

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Entity NamePowell County Memorial Hospital Association Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841414026
PECOS PAC ID: 6103734728
Enrollment ID: O20040917001067

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Entity NameBillings Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326104845
PECOS PAC ID: 6002993516
Enrollment ID: O20080430000212

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Entity NameScl Health Medical Group-butte Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477869600
PECOS PAC ID: 2466633102
Enrollment ID: O20110301000023

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Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1396286480
PECOS PAC ID: 4082904487
Enrollment ID: O20170223001015

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Entity NameAdvanced Anesthesia Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124710207
PECOS PAC ID: 6103288147
Enrollment ID: O20230808003150

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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. Kenny Joe Wallen 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
Kenny Joe Wallen, DNP
386 White Horse Loop,
Bozeman, MT 59718-1223

Ph: (918) 906-1697
Kenny Joe Wallen, DNP
600 State Hwy 91 S,
Dillon, MT 59725-7379

Ph: (406) 683-3000

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Nurse Anesthetist, Certified Registered Nurses in Dillon, MT

Mr. Neal M Maxfield,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725
Phone: 406-683-3000    
Dennis B. Hatfield, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 90 Highway 91 South, Dillon, MT 59725
Phone: 406-683-2323    
Kathleen S Maunu, RN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725
Phone: 406-683-3000    Fax: 406-683-3027
Gordon H. Lucas, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 90 Highway 91 South, Dillon, MT 59725
Phone: 406-683-3000    
Mr. Cecil Timothy Jackson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 90 Highway 91 South, C/o Barrett Hospital & Healthcare, Dillon, MT 59725
Phone: 406-683-3000    Fax: 406-683-3011
Timothy Hall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 Mt Highway 91 S, Dillon, MT 59725
Phone: 406-683-3000    

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