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 | 
|---|
| Gender | Female | 
|---|
| Speciality |  | 
|---|
| Experience | Years | 
|---|
| Location | 2945 S Dobson Rd, Mesa, Arizona | 
|---|
| 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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