| Dr Susan Paulena Corzilius, MD | |
|
5125 Skyline Rd S, Kaiser Skyline Medical Office - Family Medicine, Salem, OR 97306-9427 | |
| (503) 361-5400 | |
| Not Available |
| Full Name | Dr Susan Paulena Corzilius |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5125 Skyline Rd S, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205907268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G81829 (California) | Secondary |
| 207Q00000X | Family Medicine | DR.0069187 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | MD29252 (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Paulena Corzilius, MD 5125 Skyline Rd S, Kaiser Skyline Medical Office - Family Medicine, Salem, OR 97306-9427 Ph: () - | Dr Susan Paulena Corzilius, MD 5125 Skyline Rd S, Kaiser Skyline Medical Office - Family Medicine, Salem, OR 97306-9427 Ph: (503) 361-5400 |
Dr. Volodymyr Y. Dovhyy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1165 Union St Ne, Salem, OR 97301 Phone: 503-399-2424 | |
Dr. Bethany Wohletz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304 Phone: 503-304-5716 Fax: 503-304-5719 | |
Anthony Michael Martz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2531 Boone Rd Se, Salem, OR 97306 Phone: 503-399-2424 | |
Rosamund M Irwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Jack Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301 Phone: 503-561-5554 | |
Dr. Quincy Enyioma John, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-1879 | |
Shwetha R Gurram, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 966 12th St Se Ste 130, Salem, OR 97302 Phone: 503-814-4400 |