Authorization No. 129900-7W
August 1, 2013
Please be advised that Dr. Susan Gingrich has been removed from the list of authorized providers based on information provided by the New York State Education Department indicating that Dr. Susan Gingrich does not currently have an active license to practice medicine in New York State.
Pursuant to Workers' Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers' Compensation Board authorization(s). Therefore, Dr. Gingrich's authorization to treat injured workers within the New York State workers' compensation system has been removed effective May 17, 2013. Dr. Gingrich's last known practice address is Glacier Oncology, 2000 Hospital Way, Whitefish, MT 59937.
Dr. Gingrich is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Gingrich for services rendered prior to May 17, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Gingrich for services rendered prior to May 17, 2013, should not be denied due to the removal of her authorization.
Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.
Robert E. Beloten