| 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 | 55 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 |
| Emanuel Medical Center | Swainsboro, GA | Hospital |
| Mountain Lakes Medical Center | Clayton, GA | Hospital |
| Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
| Mayers Memorial Hospital | Fall river mills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebrite Hospital Group Of Early Llc | 7810263589 | 8 |
| Franklin County Board Of County Commissioners | 3274541115 | 28 |
| Vesta Telemedicine Solutions Pc | 2365850948 | 32 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Entity Name | Clinch County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
| Entity Name | Donalsonville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720095805 PECOS PAC ID: 7113919820 Enrollment ID: O20040401001194 |
| 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 |