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Susan Corinne Gage

Pediatrics

Allopathic & Osteopathic Physicians

770 Welch Rd Ste 350, Palo Alto, CA 94304-1523

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN GAGE.

Based on the most recent information from CMS, provider Susan Corinne Gage is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1396060554
Provider Type
Individual
Full Name
Gage, Susan Corinne
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/31/2010
Last Updated
3/28/2014

Contact Information

Practice Location

770 Welch Rd Ste 350, Palo Alto, CA 94304-1523

(650) 723-8325

Unlisted Fax

Mailing Location

770 Welch Rd Ste 350, Palo Alto, CA 94304-1523

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A111459 California

Susan Corinne Gage

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Burgener, Elizabeth Bendig

Shek, Eugene

Burgos, Raquel E.

Gorukanti, Anuradha

Stuart, Anne Elizabeth

Alvarez, Dora Shirly

Mosley, Mehran

Dunn, Emily

Chiou, Mary Le

Gnanashanmugam, Devasena