| Dr Mary Elaine Gutzke, MD | |
|
701 Princeton Ave Sw, Birmingham, AL 35211-1303 | |
| (205) 783-3144 | |
| (205) 783-3195 |
| Full Name | Dr Mary Elaine Gutzke |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 701 Princeton Ave Sw, Birmingham, Alabama |
| 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 |
|---|---|---|---|
| 1326199233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-041040 (Alabama) | Secondary |
| 207L00000X | Anesthesiology | 28340 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookwood Baptist Medical Center | Birmingham, AL | Hospital |
| Princeton Baptist Medical Center | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southside Pain Specialists, Pc | 0648355016 | 7 |
| 360 Anesthesia Pllc | 5991184863 | 98 |
| Anesthesiologists Associated Pc | 6204739519 | 346 |
| Entity Name | Anesthesiologists Associated Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20040202000465 |
| Entity Name | Southside Pain Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558546994 PECOS PAC ID: 0648355016 Enrollment ID: O20080310000215 |
| Entity Name | Blue Lake Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629 |
| Entity Name | 360 Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20230911003654 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Elaine Gutzke, MD Po Box 235022, Montgomery, AL 36123-5022 Ph: (334) 386-2051 | Dr Mary Elaine Gutzke, MD 701 Princeton Ave Sw, Birmingham, AL 35211-1303 Ph: (205) 783-3144 |