| Susan Woodmansee, MD | |
|
3901 Lone Tree Way, Antioch, CA 94509-6200 | |
| (925) 779-7273 | |
| Not Available |
| Full Name | Susan Woodmansee |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 3901 Lone Tree Way, Antioch, 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 |
|---|---|---|---|
| 1275552580 | NPI | - | NPPES |
| 00A555030 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A55503 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
| Community Regional Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| University Faculty Associates Inc | 6507181708 | 235 |
| Central California Faculty Medical Group Inc | 8325952773 | 235 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Central California Faculty Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457603573 PECOS PAC ID: 8325952773 Enrollment ID: O20031118001168 |
| Entity Name | Cep America - Auc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568861524 PECOS PAC ID: 9537481692 Enrollment ID: O20141201002085 |
| Entity Name | University Faculty Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073911137 PECOS PAC ID: 6507181708 Enrollment ID: O20150211000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Woodmansee, MD 2100 Powell St, Ste 920, Emeryville, CA 94608-1826 Ph: (510) 350-2777 | Susan Woodmansee, MD 3901 Lone Tree Way, Antioch, CA 94509-6200 Ph: (925) 779-7273 |
Kathleen A Regacho, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-3522 | |
Khanh D Nguyen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 510-350-2657 | |
Mary Antionette Fitzsimons, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273 | |
Raj V. Dasari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Ivan S. Cavaliere, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Russell Gerald Rodriguez, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273 |