| Dr Daryl Ray Dutter, MD | |
|
521 N Wilma Ave Ste A, Ripon, CA 95366-9003 | |
| (209) 599-4211 | |
| (209) 599-4341 |
| Full Name | Dr Daryl Ray Dutter |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 521 N Wilma Ave Ste A, Ripon, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578568366 | NPI | - | NPPES |
| 68-0311001 | Other | CA | TAX ID |
| 080009801 | Other | CA | RAILROAD MEDICARE |
| 00G572330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G57233 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital Of Manteca | Manteca, CA | Hospital |
| Bethany Home Society San Joaquin County | Ripon, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ripon Family Physicians | 5496152845 | 8 |
| Entity Name | Ripon Family Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356912638 PECOS PAC ID: 5496152845 Enrollment ID: O20210928000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daryl Ray Dutter, MD 450 Glass Ln Ste C, Modesto, CA 95356-9287 Ph: (209) 342-2300 | Dr Daryl Ray Dutter, MD 521 N Wilma Ave Ste A, Ripon, CA 95366-9003 Ph: (209) 599-4211 |
Paul Michael Hogan, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4211 Fax: 209-599-7348 | |
James Jeffrey Daley, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4211 Fax: 209-599-7348 | |
Dr. Todd Laurence Terzo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4211 Fax: 209-599-7348 | |
Dr. Kent Alan Hufford, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4212 Fax: 209-599-7348 |