| Susan A Gootnick, MD | |
|
329 Goodhill Rd, Kentfield, CA 94904-2611 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Susan A Gootnick |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 54 Years |
| Location | 329 Goodhill Rd, Kentfield, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386714905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G23580 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Centro Regional Medical Center | El centro, CA | Hospital |
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Emanuel Medical Center | Swainsboro, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vesta Telemedicine Solutions Pc | 2365850948 | 34 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Entity Name | St. Helena Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
| Entity Name | Los Angeles Radiology Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366525487 PECOS PAC ID: 7517968167 Enrollment ID: O20070124000506 |
| Entity Name | United Medical Imaging Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760572036 PECOS PAC ID: 0143311241 Enrollment ID: O20070803000169 |
| Entity Name | Washington Radiologists Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851355622 PECOS PAC ID: 6305927245 Enrollment ID: O20080116000567 |
| Entity Name | Ihs Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497148456 PECOS PAC ID: 1052622024 Enrollment ID: O20150617000811 |
| Entity Name | Radiology Group Of Abington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477541035 PECOS PAC ID: 5991780892 Enrollment ID: O20171003007688 |
| Entity Name | Radiology Associates Of Wyoming Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174528707 PECOS PAC ID: 2365355906 Enrollment ID: O20171205002227 |
| Entity Name | Vesta Telemedicine Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20210420001883 |
| Entity Name | Radiology And Nuclear Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699733162 PECOS PAC ID: 3274425772 Enrollment ID: O20210426002706 |
| Entity Name | Wellington Imaging Associates, P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689665499 PECOS PAC ID: 3779484613 Enrollment ID: O20220112002153 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20221019000479 |
| Entity Name | Vesta Telemedicine Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20230524002037 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Gootnick, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Susan A Gootnick, MD 329 Goodhill Rd, Kentfield, CA 94904-2611 Ph: (952) 595-1100 |
Dr. Charles George Peterfy, M.D., PH.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 72 Rock Rd, Kentfield, CA 94904 Phone: 415-461-2086 Fax: 415-461-1508 | |
Dr. Thomas Alexander Freed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 14 Tamal Vista Ln, Kentfield, CA 94904 Phone: 415-461-5684 Fax: 415-461-6681 |