Susan Dale Wall, MD in Iowa City, IA

Susan Dale Wall, MD is a medicare enrolled "Dermatology" physician in Iowa City, Iowa. She went to University Of Missouri, Columbia School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Forefront Dermatology and her current practice location is 521 Westbury Dr Ste 2, Iowa City, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 339-3872.

Susan Dale Wall is licensed to practice in Iowa (license number 28400) 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 1962480970.

Contact Information

	Susan Dale Wall, MD
	521 Westbury Dr Ste 2, Iowa City, IA 52245-2727
	(319) 339-3872
	(319) 339-3874

Map and Direction

Physician's Profile

Full Name	Susan Dale Wall
Gender	Female
Speciality	Dermatology
Experience	43 Years
Location	521 Westbury Dr Ste 2, Iowa City, Iowa
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:

Susan Dale Wall attended and graduated from University Of Missouri, Columbia School Of Medicine in 1981

NPI Data:

NPI Number: 1962480970
Provider Enumeration Date: 01/09/2006
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 5092779488
Enrollment ID: I20041116000329

Medical Identifiers

Medical identifiers for Susan Dale Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962480970	NPI	-	NPPES
0079301	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	28400 (Iowa)	Secondary
207N00000X	Dermatology	28400 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology	3779471701	483

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 Dale Wall allows following entities to bill medicare on her behalf.

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316342611 PECOS PAC ID: 3779471701 Enrollment ID: O20130819000272

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 Dale Wall 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
Susan Dale Wall, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Susan Dale Wall, MD 521 Westbury Dr Ste 2, Iowa City, IA 52245-2727 Ph: (319) 339-3872

Reviews and Comments

Dermatology Doctors in Iowa City, IA

Dr. Kirk Andrew Sidey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2856 Fax: 319-356-0349
Dr. Janet Fairley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2856 Fax: 319-356-8317
Laura Correa Ferrer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1694 Fax: 319-356-0349
Dr. Elizabeth Cusick, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2856 Fax: 319-356-0349
Deborah D Huebbe Youhn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 521 Westbury Dr Ste 2, Iowa City, IA 52245 Phone: 319-339-3872 Fax: 319-339-3874
Dr. Mary S Stone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2274 Fax: 319-356-8317
Dr. Erica Suzanne Colleran, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 521 Westbury Dr Ste 2, Iowa City, IA 52245 Phone: 319-339-3872 Fax: 319-339-3874

Susan Dale Wall, MD - Medicare Dermatology in Iowa City, IA