Susan Elizabeth Wallace, R,D, LD - Dietitian in Lakeside Park, KY

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Susan Elizabeth Wallace, R,D, LD is a Dietitian, Registered based in Lakeside Park, Kentucky. Susan Elizabeth Wallace is licensed to practice in Kentucky (license number KY-1998) and her current practice location is 102 Carran Dr, Lakeside Park, Kentucky. She can be reached at her office (for appointments etc.) via phone at (859) 331-2939.

NPI number for Susan Elizabeth Wallace is 1376842732 and her current mailing address is 102 Carran Dr, Lakeside Park, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376842732.

Contact Information

Susan Elizabeth Wallace, R,D, LD
102 Carran Dr,
Lakeside Park, KY 41017-2233
(859) 331-2939
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSusan Elizabeth Wallace
GenderFemale
SpecialityDietitian, Registered
Location102 Carran Dr, Lakeside Park, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376842732
  • Provider Enumeration Date: 03/23/2011
  • Last Update Date: 03/23/2011

Medical Identifiers

Medical identifiers for Susan Elizabeth Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376842732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered KY-1998 (Kentucky)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. Susan Elizabeth 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 AddressPractice Location Address
Susan Elizabeth Wallace, R,D, LD
102 Carran Dr,
Lakeside Park, KY 41017-2233

Ph: (859) 331-2939		Susan Elizabeth Wallace, R,D, LD
102 Carran Dr,
Lakeside Park, KY 41017-2233

Ph: (859) 331-2939

Reviews and Comments


Dietitian, Registered in Lakeside Park, KY


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).

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