| Dr Suzette Anne Woodward, MD | |
|
2620 W Faidley Ave, Grand Island, NE 68803-4205 | |
| (308) 398-5424 | |
| (308) 398-5429 |
| Full Name | Dr Suzette Anne Woodward |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 31 Years |
| Location | 2620 W Faidley Ave, Grand Island, Nebraska |
| 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 |
|---|---|---|---|
| 1215972047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20561 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adult And Pediatric Urology Pc | 8820980634 | 26 |
| Entity Name | Adult & Pediatric Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356387831 PECOS PAC ID: 8820980634 Enrollment ID: O20040929000460 |
| Entity Name | Grand Island Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609836535 PECOS PAC ID: 0244284768 Enrollment ID: O20050308000957 |
| Entity Name | Chi Health Clinic Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzette Anne Woodward, MD 2407 Cottonwood Rd, Grand Island, NE 68801-7563 Ph: (308) 381-4377 | Dr Suzette Anne Woodward, MD 2620 W Faidley Ave, Grand Island, NE 68803-4205 Ph: (308) 398-5424 |
Dr. Kris L Mleczko, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, St. Francis Med. Ctr., Grand Island, NE 68803 Phone: 308-398-5424 Fax: 308-398-5429 | |
Dr. Scott Alan Frankforter, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5424 Fax: 308-398-5429 | |
Dr. Brent Wayne Keenportz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5424 |