Ms Sommer Sade' Wallace, M DIV is a
Case Manager/care Coordinator based in San Diego, California. Ms Sommer Sade' Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
3491 Kurtz St Ste 150, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 320-2404.
NPI number for Ms Sommer Sade' Wallace is 1083267751 and her current mailing address is 3491 Kurtz St Ste 150, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083267751.
Healthcare Provider's Profile
| Full Name | Ms Sommer Sade' Wallace |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3491 Kurtz St Ste 150, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083267751
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 10/26/2023
Medical Identifiers
Medical identifiers for Ms Sommer Sade' Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083267751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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 Sommer Sade' Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Sommer Sade' Wallace, M DIV
3491 Kurtz St Ste 150,
San Diego, CA 92110-4430
Ph: (980) 200-7138 | Ms Sommer Sade' Wallace, M DIV
3491 Kurtz St Ste 150,
San Diego, CA 92110-4430
Ph: (619) 320-2404 |
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