Dr Suemoy S Wallace, MD is a medicare enrolled "Specialist" physician in Mesa, Arizona. Her current practice location is
2945 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 969-4138.
Dr Suemoy S Wallace is licensed to practice in Arizona (license number 49311) 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 1184850885.
Physician's Profile
Full Name | Dr Suemoy S Wallace |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2945 S Dobson Rd, Mesa, Arizona |
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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:
- Dr Suemoy S Wallace attended and graduated from in
NPI Data:
- NPI Number: 1184850885
- Provider Enumeration Date: 06/09/2009
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Suemoy S Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184850885 | NPI | - | NPPES |
948235 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 49311 (Arizona) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 49311 (Arizona) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 49311 (Arizona) | Secondary |
174400000X | Specialist | 49311 (Arizona) | 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. Dr Suemoy S 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 |
Dr Suemoy S Wallace, MD 2320 N 3rd St, Phoenix, AZ 85004-1303 Ph: (480) 969-4138 | Dr Suemoy S Wallace, MD 2945 S Dobson Rd, Mesa, AZ 85202-7941 Ph: (480) 969-4138 |
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