Individual ProviderSusan SchultzSurgeryAllopathic & Osteopathic PhysiciansPractice Address1841 Quiet Cv, Fayetteville, NC 28304-3985(910) 323-2626(210) 539-9582PECOS EnrollmentBased on the most recent information from CMS, provider Susan Schultz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1629524459Provider TypeIndividualFull NameSchultz, SusanTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date8/31/2016Last Updated10/28/2024Contact InformationPractice LocationPractice Address1841 Quiet Cv, Fayetteville, NC 28304-3985Phone(910) 323-2626Fax(910) 323-3862Mailing LocationMailing Address3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504Phone(210) 539-9582FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense31655Nebraska