Dr Kathryn Suslov, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in San Anselmo, California. Dr Kathryn Suslov is licensed to practice in California (license number 130391) and her current practice location is 893 Sir Francis Drake Blvd, Therapeutic Bodywork Center, San Anselmo, California. She can be reached at her office (for appointments etc.) via phone at
(415) 723-6555.
NPI number for Dr Kathryn Suslov is 1285887901 and her current mailing address is 893 Sir Francis Drake Blvd, Therapeutic Bodywork Center, San Anselmo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285887901.
Physician's Profile
| Full Name | Dr Kathryn Suslov |
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| Gender | Female |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 893 Sir Francis Drake Blvd, San Anselmo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285887901
- Provider Enumeration Date: 10/25/2008
- Last Update Date: 06/07/2016
Medical Identifiers
Medical identifiers for Dr Kathryn Suslov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285887901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 248038 (New York) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 130391 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Suslov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kathryn Suslov, MD
893 Sir Francis Drake Blvd, Therapeutic Bodywork Center,
San Anselmo, CA 94960-1916
Ph: (415) 723-6555 | Dr Kathryn Suslov, MD
893 Sir Francis Drake Blvd, Therapeutic Bodywork Center,
San Anselmo, CA 94960-1916
Ph: (415) 723-6555 |
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