| Susan Guidici, CRNA | |
|
3540 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-2276 | |
| (707) 522-6200 | |
| Not Available |
| Full Name | Susan Guidici |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 3540 Mendocino Ave, 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 |
|---|---|---|---|
| 1790799849 | NPI | - | NPPES |
| RN5054090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | CACRNA2501 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amsurg Marin Anesthesia Lp | 7214160191 | 4 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Amsurg Marin Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972929925 PECOS PAC ID: 7214160191 Enrollment ID: O20140603000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Guidici, CRNA 570 Maria Dr, Petaluma, CA 94954-1591 Ph: (707) 769-1123 | Susan Guidici, CRNA 3540 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-2276 Ph: (707) 522-6200 |
Roxanne Marie Moon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 112 Childrens Cir, Santa Rosa, CA 95409 Phone: 707-565-6350 | |
Suzetta Richmond, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1739 Fourth Street, Santa Rosa, CA 95404 Phone: 707-528-6331 Fax: 707-528-6587 | |
Maureen Flynn Garcia, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3725 Westwind Blvd, Santa Rosa, CA 95403 Phone: 707-565-8070 | |
Monicah Waithira Gacegu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2623 Navajo St, Santa Rosa, CA 95403 Phone: 707-703-2565 | |
Jerry Genung, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3322 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4970 | |
Mr. John David Wildgust, RN, MSN, PHN, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 480 Tesconi Cir Ste B, Santa Rosa, CA 95401 Phone: 707-206-7268 Fax: 707-206-7254 | |
Elizabeth Virginia Fernwood, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 |