| Susan C Logan, MD | |
|
1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | |
| (707) 575-1626 | |
| (707) 575-3941 |
| Full Name | Susan C Logan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 35 Years |
| Location | 1111 Sonoma Avenue, Santa Rosa, 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 |
|---|---|---|---|
| 1982716221 | NPI | - | NPPES |
| P01350003 | Other | CA | RAILROAD MEDICARE |
| 1982716221 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G69486 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| California Pacific Medical Ctr-davies Campus Hosp | San francisco, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Womens Obgyn | 4789929506 | 2 |
| Entity Name | Womens Obgyn |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316439979 PECOS PAC ID: 4789929506 Enrollment ID: O20181226001946 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan C Logan, MD 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 Ph: (707) 575-1626 | Susan C Logan, MD 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 Ph: (707) 575-1626 |
Dr. Jennifer V Ratcliffe, M.D., PH.D Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4690 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-575-5831 Fax: 707-575-4379 | |
Shazah Khawaja, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 Sonoma Ave Ste 18, Santa Rosa, CA 95404 Phone: 707-579-1102 Fax: 707-579-1386 | |
Dr. Jonathan Michael Kurss, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Medical Office Building 1, Suite 210, Santa Rosa, CA 95403 Phone: 707-393-4081 | |
Estrelania S Williams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405 Phone: 707-579-1102 Fax: 707-579-1386 | |
Kathryn Marie Osei-bonsu, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 34 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-541-7900 Fax: 707-573-5413 | |
Louise Huang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, #103, Santa Rosa, CA 95405 Phone: 707-579-1102 Fax: 707-579-1386 | |
John C. Parker, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |