Mrs Suzanne C Gullotta, APRN is a
Nurse Practitioner - Family based in Somers, Montana. Mrs Suzanne C Gullotta is licensed to practice in Montana (license number 020838) and her current practice location is
77 Deer Creek Rd, Somers, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 857-2997.
NPI number for Mrs Suzanne C Gullotta is 1962401372 and her current mailing address is Po Box 649, Lakeside, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962401372.
Provider's Profile
| Full Name | Mrs Suzanne C Gullotta |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 77 Deer Creek Rd, Somers, Montana |
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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: 1962401372
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Suzanne C Gullotta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962401372 | NPI | - | NPPES |
| 0037108 | Other | MT | MONTANA BCBS NUMBER |
| 0434707 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 020838 (Montana) | 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. Mrs Suzanne C Gullotta 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 |
|---|
Mrs Suzanne C Gullotta, APRN
Po Box 649,
Lakeside, MT 59922-0649
Ph: (406) 857-2997 | Mrs Suzanne C Gullotta, APRN
77 Deer Creek Rd,
Somers, MT 59932
Ph: (406) 857-2997 |
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