| Susan Joy Goodemote, RN | |
|
308 8th St N, Mountain Lake, MN 56159-1568 | |
| (507) 427-3332 | |
| Not Available |
| Full Name | Susan Joy Goodemote |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 308 8th St N, Mountain Lake, Minnesota |
| 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 |
|---|---|---|---|
| 1912416124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 173042 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3929 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Hospice | Sioux falls, SD | Hospice |
| Windom Area Health | Windom, MN | Hospital |
| Sanford Usd Medical Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network | 6800707100 | 307 |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178052 PECOS PAC ID: 0244143824 Enrollment ID: O20040115000943 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Joy Goodemote, RN Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Susan Joy Goodemote, RN 308 8th St N, Mountain Lake, MN 56159-1568 Ph: (507) 427-3332 |
Ms. Karen Uecker-bezdicek, F-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 8th St N, Mountain Lake, MN 56159 Phone: 507-427-3332 Fax: 507-427-2493 | |
Melanie Lynn Behrends, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 8th St N, Mountain Lake, MN 56159 Phone: 507-427-3332 |