CRAIGREON LEVAR WALLACE PA
NPI 1952386815
Physician Assistant - Medical in Dallas, TX
About Craigreon Levar Wallace Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIGREON LEVAR WALLACE PA (NPI 1952386815) is an individual medical provider in Dallas, Texas, licensed in Texas (PA06903) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Craigreon Levar Wallace Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Craigreon Wallace's NPI number?
The NPI number for Craigreon Wallace is 1952386815. It was assigned to this individual provider in the NPPES registry on December 13, 2005.
Where is Craigreon Wallace located?
Craigreon Wallace practices at 6201 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 648-3111.
What is Craigreon Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Craigreon Wallace enrolled in Medicare?
Yes. Craigreon Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Craigreon Wallace accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Craigreon Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Craigreon Wallace affiliated with any hospitals?
According to CMS data, Craigreon Wallace is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Craigreon Wallace was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Craigreon Levar Wallace, PA · NPI 1952386815
Medical physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1952386815 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA06903 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6201 HARRY HINES BLVD, Dallas, TX 75235
- **Phone:** (214) 648-3111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1952386815) · Data from the CMS NPPES public registry.