Wallace J Hayasaka, M.D.
Individual provider Active NPI Anesthesiology Physician · Bozeman, MT
NPI 1477538155 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1477538155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 57767 (MT)
- Practice address
- 915 Highland Blvd
Bozeman, MT 59715-6902 - Phone
- (602) 262-8900
- Fax
- (602) 262-4132
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Billings Clinic
Gallatin Valley Anesthesia Associates PC
Practice addresses (Care Compare)
2800 10TH Ave N
Suite D
Billings, MT 59101-0703
Phone (406) 238-2500
925 Highland Blvd
Suite 1180
Bozeman, MT 59715-6905
Phone (406) 587-8631
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Billings Clinic Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828004248 | MT | Practitioner - Anesthesiology | 7618057183 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52953 | AZ | MD | Anesthesiology Physician |
| 38727 | CO | MD | Anesthesiology Physician |
| 57767 | MT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallatin Valley Anesthesia Associates PC | Anesthesiology | Current |
Accepting new patients |
| Livingston Healthcare | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Livingston Healthcare | Current |
Accepting new patients | |
| Billings Clinic | Family Medicine | Current |
Accepting new patients |
| Granite Peak Anesthesiology Consultants | Anesthesiology | Current |
Accepting new patients |
| Physician Anesthesia Services PC | Anesthesiology | Past | Accepting new patients |
| Intercity Radiology, PC | Past |
Accepting new patients | |
| Anesthesia Consultants PC | Anesthesiology | Past | Accepting new patients |
| Billings Clinic | Past | Accepting new patients |
Locations
2949 10TH Ave N
Billings, MT 59101
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
2800 10th Ave N
Ste D
Billings, MT 59101
Phone (406) 657-4100
3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
536 S Cottonwood Rd
Ste 102
Bozeman, MT 59718
Phone (406) 548-6299
925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030
104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 57767 | MT | Yes |
| Anesthesiology Physician | 207L00000X | 52953 | AZ | |
| Anesthesiology Physician | 207L00000X | 38727 | CO |
Addresses
Primary practice location
915 Highland Blvd
Bozeman, MT 59715-6902
Mailing address
PO Box 84891
Seattle, WA 98124-6191
Phone (406) 414-5000
Other practice location 1
925 Highland Blvd
Bozeman, MT 59715-6900
Phone (800) 394-4445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26353580 | Medicaid | CO |
Other providers in Bozeman, MT
- Breana Lea Hauskins-McElgunn
- Holly A Hausmann
- Haute Route Sports Medicine, PLLC
- Haven
- Jessica Hawksford
- Leslie A Hayes
- Stewart Jerome Hazel
- Headwaters Chiropractic & Wellness, LLC
- Headwaters Orthodontics, PLLC
- Healing Waters Wellness Center, Inc
All providers in Bozeman, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.