| Chadd Sukut, MD | |
|
1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | |
| (509) 456-7414 | |
| (509) 624-0763 |
| Full Name | Chadd Sukut |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 10 Years |
| Location | 1807 N Hutchinson Rd, Spokane Valley, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467673061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 125-051629 (Illinois) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 036-125576 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 100 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 100 |
| Entity Name | Mountain West Derm - Blackhart Pllc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1619517539 PECOS PAC ID: 1153609813 Enrollment ID: O20200324001980 |
| Entity Name | Mountain West Derm - Blackhart Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013557933 PECOS PAC ID: 1153609813 Enrollment ID: O20200904001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Chadd Sukut, MD 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 Ph: (509) 456-7414 | Chadd Sukut, MD 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 Ph: (509) 456-7414 |
Joel K Sears, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763 | |
Staci M Hestdalen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763 | |
Andrea Mead Dominey, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763 | |
Paul T Dunn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763 | |
Dr. Robin Louise Hornung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763 | |
Joseph L Cvancara, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1807 N Hutchinson Rd, Spokane Valley, WA 99212 Phone: 509-456-7414 Fax: 509-624-0763 |