Susan R Wallace, in Hattiesburg, MS - Medicare Nurse Practitioner

Susan R Wallace, is a medicare enrolled "Nurse Practitioner - Family" in Hattiesburg, Mississippi. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gastrointestinal Associates Pa and her current practice location is 100 Methodist Blvd, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 268-6738.

Susan R Wallace is licensed to practice in Mississippi (license number R852101) 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 1740537687.

Contact Information

	Susan R Wallace,
	100 Methodist Blvd, Hattiesburg, MS 39402-1295
	(601) 268-6738
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan R Wallace
Gender	Female
Speciality	Nurse Practitioner
Experience	29 Years
Location	100 Methodist Blvd, Hattiesburg, Mississippi
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 R Wallace graduated from nursing school in 1995

NPI Data:

NPI Number: 1740537687
Provider Enumeration Date: 08/09/2012
Last Update Date: 08/10/2012

Medicare PECOS Information:

PECOS PAC ID: 6800040460
Enrollment ID: I20130206000470

Medical Identifiers

Medical identifiers for Susan R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740537687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R852101 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health Wesley	Hattiesburg, MS	Hospital
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gastrointestinal Associates Pa	5294795241	86

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 R Wallace allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Gi Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730293234 PECOS PAC ID: 8921083288 Enrollment ID: O20040622000367

Entity Name	Gastrointestinal Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093765604 PECOS PAC ID: 5294795241 Enrollment ID: O20041013001263

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 R 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
Susan R Wallace, 100 Methodist Blvd, Hattiesburg, MS 39402-1295 Ph: (601) 268-6738	Susan R Wallace, 100 Methodist Blvd, Hattiesburg, MS 39402-1295 Ph: (601) 268-6738

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Susan R Wallace, - Medicare Nurse Practitioner in Hattiesburg, MS