Susan H Gross, MD in Petaluma, CA - Medicare Internal Medicine

Susan H Gross, MD is a medicare enrolled "Internal Medicine" physician in Petaluma, California. Her current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 765-3900.

Susan H Gross is licensed to practice in California (license number A85535) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588714380.

Contact Information

	Susan H Gross, MD
	3900 Lakeville Hwy, Petaluma, CA 94954-5698
	(707) 765-3900
	Not Available

Map and Direction

Physician's Profile

Full Name	Susan H Gross
Gender	Female
Speciality	Internal Medicine
Location	3900 Lakeville Hwy, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588714380
Provider Enumeration Date: 01/12/2007
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 6507834595
Enrollment ID: I20040917000661

Medical Identifiers

Medical identifiers for Susan H Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588714380	NPI	-	NPPES
00A855350	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A85535 (California)	Primary

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. Susan H Gross allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 H Gross 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
Susan H Gross, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Susan H Gross, MD 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900

Reviews and Comments

Internal Medicine Doctors in Petaluma, CA

Timothy M Sowerby, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Nina Rachel Molin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Juwono Sutedjo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way Ste C, Petaluma, CA 94954 Phone: 707-790-8000
Dr. Philippe Edouard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620
Dr. Gerald S. Besses, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 124 Sunny Hill Dr, Petaluma, CA 94952 Phone: 707-658-2799
Dr. Jeffrey Tobias, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Lavender Ter, Petaluma, CA 94952 Phone: 650-200-8944
Dr. Thomas Paton Knecht, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 141 Lynch Creek Way, Suite A, Petaluma, CA 94954 Phone: 707-762-0001

Susan H Gross, MD - Medicare Internal Medicine in Petaluma, CA