Suzanne Watts Dedmore, RN, FNP-C - Medicare Nurse Practitioner in Santa Rosa, CA

Suzanne Watts Dedmore, RN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. Her current practice location is 1110 N Dutton Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 303-3600.

Suzanne Watts Dedmore is licensed to practice in California (license number 20520) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013296326.

Contact Information

Suzanne Watts Dedmore, RN, FNP-C
1110 N Dutton Ave,
Santa Rosa, CA 95401-4606
(707) 303-3600
Not Available



Provider's Profile

Full NameSuzanne Watts Dedmore
GenderFemale
SpecialityNurse Practitioner - Family
Location1110 N Dutton Ave, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013296326
  • Provider Enumeration Date: 08/04/2011
  • Last Update Date: 07/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9739310558
  • Enrollment ID: I20140320000534

Medical Identifiers

Medical identifiers for Suzanne Watts Dedmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013296326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20520 (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. Suzanne Watts Dedmore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suzanne Watts Dedmore, RN, FNP-C
3569 Round Barn Cir,
Santa Rosa, CA 95403-5781

Ph: (707) 303-3600
Suzanne Watts Dedmore, RN, FNP-C
1110 N Dutton Ave,
Santa Rosa, CA 95401-4606

Ph: (707) 303-3600

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Nurse Practitioner Nurses in Santa Rosa, CA

Lauren Roos, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 711 Stony Point Rd, Santa Rosa, CA 95407
Phone: 707-578-2005    
Peggy Walsh Goebel,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404
Phone: 707-585-7780    Fax: 707-585-7784
Julie Barlow, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-525-5207    
Amada Ligia Gomez, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404
Phone: 786-385-4492    
Genesis Callejas-mir, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401
Phone: 707-527-4445    
Felipa Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404
Phone: 707-570-1130    Fax: 707-571-2478

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