Dr Suemoy S Wallace, MD - Medicare General Surgery in Mesa, AZ

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Dr Suemoy S Wallace, MD is a medicare enrolled "Specialist" physician in Mesa, Arizona. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Physician Group Of Arizona Inc and 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.

Contact Information

Dr Suemoy S Wallace, MD
2945 S Dobson Rd,
Mesa, AZ 85202-7941
(480) 969-4138
(480) 969-0630

Map and Direction




Physician's Profile

Full NameDr Suemoy S Wallace
GenderFemale
SpecialityGeneral Surgery
Experience20 Years
Location2945 S Dobson Rd, Mesa, Arizona
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1184850885
  • Provider Enumeration Date: 06/09/2009
  • Last Update Date: 05/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577734904
  • Enrollment ID: I20140924001838

Medical Identifiers

Medical identifiers for Dr Suemoy S Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184850885NPI-NPPES
948235MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 49311 (Arizona)Secondary
2086S0102XSurgery - Surgical Critical Care 49311 (Arizona)Secondary
2086S0127XSurgery - Trauma Surgery 49311 (Arizona)Secondary
174400000XSpecialist 49311 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain Vista Medical Center, LpMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Group Of Arizona Inc145643996733

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. Dr Suemoy S Wallace allows following entities to bill medicare on her behalf.
Entity NameHonorhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801092564
PECOS PAC ID: 1456258607
Enrollment ID: O20031216000350
Entity NamePhysician Group Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518137520
PECOS PAC ID: 1456439967
Enrollment ID: O20080424000348
Entity NameAcute Care Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225311871
PECOS PAC ID: 7315106416
Enrollment ID: O20120308000890
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284
Entity NameArizona Advanced Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346880838
PECOS PAC ID: 0547690166
Enrollment ID: O20200423000406
Entity NameMohave Intensivist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891386710
PECOS PAC ID: 2567879638
Enrollment ID: O20210408000395

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 AddressPractice 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

Reviews and Comments



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.