Susan Jean Wallace, - Registered Nurse in Pine Ridge, SD

Susan Jean Wallace, is a Registered Nurse based in Pine Ridge, South Dakota. Susan Jean Wallace is licensed to practice in Nebraska (license number 26784) and her current practice location is E Hwy 18, Pine Ridge, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 867-5131.

NPI number for Susan Jean Wallace is 1194985887 and her current mailing address is E Hwy 18, Pine Ridge, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194985887.

Contact Information

Susan Jean Wallace,
E Hwy 18,
Pine Ridge, SD 57770-1201
(605) 867-5131
(605) 867-3263



Provider's Profile

Full NameSusan Jean Wallace
GenderFemale
SpecialityRegistered Nurse
LocationE Hwy 18, Pine Ridge, South Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194985887
  • Provider Enumeration Date: 06/16/2008
  • Last Update Date: 06/16/2008

Medical Identifiers

Medical identifiers for Susan Jean Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194985887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26784 (Nebraska)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. Susan Jean 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 AddressPractice Location Address
Susan Jean Wallace,
E Hwy 18,
Pine Ridge, SD 57770-1201

Ph: () -
Susan Jean Wallace,
E Hwy 18,
Pine Ridge, SD 57770-1201

Ph: (605) 867-5131

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Registered Nurse Nurses in Pine Ridge, SD

Darcie Thies, RN BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: East Hwy 18, Pine Ridge, SD 57770
Phone: 605-867-5131    
Anita Larae Easton, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: East Highway 18, Pine Ridge Ihs, Pine Ridge, SD 57770
Phone: 605-867-3068    
Virginia Horn, REGISTERED NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 East Highway 18, Pine Ridge, SD 57770
Phone: 605-867-6369    
Jobeth Ann Swallow,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: East Highway 18, Pine Ridge, SD 57770
Phone: 605-867-5131    
Miss Mary Elizabeth Colhoff, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Highway 18 East, Pine Ridge, SD 57770
Phone: 605-867-5131    Fax: 605-867-3306
Gloria Esther Velazco, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: East Highway 18, Pine Ridge, SD 57770
Phone: 605-867-5131    
Karen L Carpio, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: E Hwy 18, Pine Ridge, SD 57770
Phone: 605-867-5131    Fax: 605-867-3305

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