Ms Suzanne Kapuamailani Wallace, MSW, ASW, LCSW in Portland, OR - Medicare Clinical Social Worker Provider

Ms Suzanne Kapuamailani Wallace, MSW, ASW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 9911 Se Mount Scott Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 258-4200.

Ms Suzanne Kapuamailani Wallace is licensed to practice in Oregon (license number L3489) 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 1467587618.

Contact Information

	Ms Suzanne Kapuamailani Wallace, MSW, ASW, LCSW
	9911 Se Mount Scott Blvd, Portland, OR 97266-6302
	(503) 258-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Suzanne Kapuamailani Wallace
Gender	Female
Speciality	Clinical Social Worker
Experience	24 Years
Location	9911 Se Mount Scott Blvd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Suzanne Kapuamailani Wallace graduated from medical school in 2000

NPI Data:

NPI Number: 1467587618
Provider Enumeration Date: 02/21/2007
Last Update Date: 11/01/2013

Medicare PECOS Information:

PECOS PAC ID: 7012295363
Enrollment ID: I20161020002394

Medical Identifiers

Medical identifiers for Ms Suzanne Kapuamailani Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467587618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L3489 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Ms Suzanne Kapuamailani Wallace allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Western Psychological And Counseling Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049

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. Ms Suzanne Kapuamailani 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 Address	Practice Location Address
Ms Suzanne Kapuamailani Wallace, MSW, ASW, LCSW 9911 Se Mt.scott Boulevard, Portland, OR 97266 Ph: (503) 258-4200	Ms Suzanne Kapuamailani Wallace, MSW, ASW, LCSW 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 Ph: (503) 258-4200

Reviews and Comments

Social Worker in Portland, OR

Ms. Claudette Hastie Beahrs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3318 Ne Hancock St, Portland, OR 97212 Phone: 503-249-7215 Fax: 503-335-3444
Ms. Sonya Carmen Strickland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 503-709-6101
Mr. Del R Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205 Phone: 503-449-3238
Mrs. Yvette Denine Arey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207 Phone: 503-220-8262 Fax: 503-273-5210
Mr. Paul Patrick Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Se 14th Ave, Portland, OR 97214 Phone: 503-235-3433 Fax: 503-235-4762
Mrs. Nalini Kuruppu, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 N Holman St, Portland, OR 97217 Phone: 503-753-9157
Jeni Lynne Shilman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2701 Nw Vaughn St, Portland, OR 97210 Phone: 503-499-5200

Ms Suzanne Kapuamailani Wallace, MSW, ASW, LCSW - Medicare Clinical Social Worker in Portland, OR