Dr Susannah Chamie Kussmaul, MD | |
300 Pasteur Dr, Sumc - Pediatrics Physician Billing, Mc:5530, Stanford, CA 94305-2200 | |
(650) 498-7391 | |
(650) 725-7888 |
Full Name | Dr Susannah Chamie Kussmaul |
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Gender | Female |
Speciality | Pediatrics |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316077001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A98826 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Susannah Chamie Kussmaul, MD 300 Pasteur Dr, Sumc - Pediatrics Physician Billing, Mc:5530, Stanford, CA 94305-2200 Ph: (650) 498-7391 | Dr Susannah Chamie Kussmaul, MD 300 Pasteur Dr, Sumc - Pediatrics Physician Billing, Mc:5530, Stanford, CA 94305-2200 Ph: (650) 498-7391 |
Crystal Mackall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 265 Campus Dr, G3141a, Mc5456, Stanford, CA 94305 Phone: 650-725-2553 | |
Kathryn Gopez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103 | |
Dr. Kathleen Gutierrez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5682 Fax: 650-725-8040 | |
Dr. Rajni Agarwal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Peds Phys Billing Mc 5530, Stanford, CA 94305 Phone: 650-498-7391 | |
Dr. Alma D Erice-taganas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Room H310 Mc5530, Stanford, CA 94305 Phone: 650-498-7391 Fax: 650-725-7888 | |
David A Stevenson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr # H315, Stanford, CA 94305 Phone: 650-736-7696 | |
Brittany Rae Boswell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |