Susan Lynn Dastic, CRNA | |
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
(707) 571-4000 | |
Not Available |
Full Name | Susan Lynn Dastic |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 401 Bicentennial Way, 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 |
---|---|---|---|
1487700340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN3916680 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
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 Lynn Dastic, CRNA 3507 Hanover Pl, Santa Rosa, CA 95404-7640 Ph: (707) 578-8821 | Susan Lynn Dastic, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Delilah Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4616 | |
Mr. Dennis Eugene Oliver, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403 Phone: 707-571-4616 Fax: 707-571-3144 | |
Ramona Jane Chandler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way Dept Of, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mr. Gregory Lorne Groeneveld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 170-571-4000 Fax: 707-836-0173 | |
Ms. Indra Johansson-matthews, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Mr. Krishneel Lall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mrs. Merri Beth Callender, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403 Phone: 707-571-4616 |