| Susan Mary Degutes, NP | |
|
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
| (415) 444-2000 | |
| Not Available |
| Full Name | Susan Mary Degutes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 99 Montecillo Rd, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093882367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 487580 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Mary Degutes, NP 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: Not Available | Susan Mary Degutes, NP 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
Erin Elizabeth Irvin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 880 Las Gallinas Ave Ste 2, San Rafael, CA 94903 Phone: 415-339-8813 |
Melanie Jenkins Austin, NP RN CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3260 Kerner Blvd, San Rafael, CA 94901 Phone: 415-507-4030 Fax: 415-507-2634 |
Marne Anne Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903 Phone: 415-473-4306 Fax: 415-473-4307 |
Kate Mcglashan, NP RN CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 361 Third Street, Suite E, San Rafael, CA 94901 Phone: 415-499-4030 Fax: 415-507-2634 |
Ms. Judy Lane, N.P., R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903 Phone: 415-472-2343 Fax: 415-472-7636 |
Carmen Lily Carrouche, RN, CNS, PMH-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Ritter St, San Rafael, CA 94901 Phone: 415-457-8182 Fax: 415-457-3490 |
Ruth Leslie Rogow, NP RN CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3260 Kerner Blvd, Suite E, San Rafael, CA 94901 Phone: 415-473-3730 |