Susan R Wallace is a family nurse practitioner in Hattiesburg, MS with 29 years of experience. Susan R Wallace NPI is 1740537687. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
100 METHODIST BLVD
HATTIESBURG, MS
ZIP 39402-295
Phone: (601) 268-6738
The NPI 1740537687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
The enumeration date for this NPI number is 8/9/2012 and was last updated on 8/10/2012.