Susan Lee Wallace, LCSW - Medicare Clinical Social Worker in Santa Cruz, CA

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Susan Lee Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Cruz, California. Her current practice location is 1510 Capitola Rd, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 427-3500.

Susan Lee Wallace is licensed to practice in California (license number 15024) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972719938.

Contact Information

Susan Lee Wallace, LCSW
1510 Capitola Rd,
Santa Cruz, CA 95062-2912
(831) 427-3500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSusan Lee Wallace
GenderFemale
SpecialitySocial Worker - Clinical
Location1510 Capitola Rd, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972719938
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941647218
  • Enrollment ID: I20240321003346

Medical Identifiers

Medical identifiers for Susan Lee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972719938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 15024 (California)Primary

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. Susan Lee Wallace allows following entities to bill medicare on her behalf.
Entity NameSanta Cruz Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952749541
PECOS PAC ID: 0840259107
Enrollment ID: O20180319001652

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. Susan Lee 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
Susan Lee Wallace, LCSW
947 El Dorado Ave,
Santa Cruz, CA 95062-2863

Ph: (831) 479-7195		Susan Lee Wallace, LCSW
1510 Capitola Rd,
Santa Cruz, CA 95062-2912

Ph: (831) 427-3500

Reviews and Comments


Social Worker in Santa Cruz, CA

Ms. Sandra Maura, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 103 Wavecrest Ave, Santa Cruz, CA 95060
Phone: 831-425-5971    Fax: 831-425-5971
Ms. Cassandra Dobrin, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 524 Western Dr, Santa Cruz, CA 95060
Phone: 831-706-7577    
Callia Hansen,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1510 Capitola Rd, Santa Cruz, CA 95062
Phone: 831-427-3500    
Craig Rothhammer, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Emeline Ave, Santa Cruz, CA 95060
Phone: 831-454-4170    Fax: 831-454-4663
Lisa M Howe,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 206 Pelton Ave, Santa Cruz, CA 95060
Phone: 831-239-2147    
Jennifer Sredniawa, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1080 Emeline Ave, Santa Cruz, CA 95060
Phone: 831-454-4100    
Nancy Jo Haberman, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Emeline Ave, Santa Cruz, CA 95060
Phone: 831-454-4170    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.