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

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



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 Inc145643996732

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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

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Entity NamePhysician Group Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518137520
PECOS PAC ID: 1456439967
Enrollment ID: O20080424000348

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Entity NameAcute Care Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225311871
PECOS PAC ID: 7315106416
Enrollment ID: O20120308000890

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Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
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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

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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

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Entity NameDragha Llc
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Entity NameMohave Intensivist Group Pc
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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

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