Suzanne M Wallace, RN is a
Registered Nurse based in Presque Isle, Wisconsin. Suzanne M Wallace is licensed to practice in Wisconsin (license number ) and her current practice location is
7544 County Road P, Presque Isle, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 686-7281.
NPI number for Suzanne M Wallace is 1710055090 and her current mailing address is 7544 County Road P, Presque Isle, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710055090.
Provider's Profile
Full Name | Suzanne M Wallace |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 7544 County Road P, Presque Isle, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710055090
- Provider Enumeration Date: 12/02/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Suzanne M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710055090 | NPI | - | NPPES |
350 13900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | (Wisconsin) | 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. Suzanne M 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 Address | Practice Location Address |
Suzanne M Wallace, RN 7544 County Road P, Presque Isle, WI 54557-9369 Ph: (715) 686-7281 | Suzanne M Wallace, RN 7544 County Road P, Presque Isle, WI 54557-9369 Ph: (715) 686-7281 |
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