Dr Ralph Marc Sutherlin, DO is a medicare enrolled "Family Medicine" physician in St Maries, Idaho. He went to Harvard Medical School and graduated in 1998 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Syringa Health And Wellness Llc and his current practice location is
622 W College Ave Ste 2, St Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 568-7800.
Dr Ralph Marc Sutherlin is licensed to practice in Idaho (license number O-264) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245291772.
Physician's Profile
| Full Name | Dr Ralph Marc Sutherlin |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 27 Years |
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| Location | 622 W College Ave Ste 2, St Maries, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ralph Marc Sutherlin attended and graduated from Harvard Medical School in 1998
NPI Data:
- NPI Number: 1245291772
- Provider Enumeration Date: 04/02/2006
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214099340
- Enrollment ID: I20081223000505
Medical Identifiers
Medical identifiers for Dr Ralph Marc Sutherlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245291772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | O-264 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | O-264 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Syringa Health And Wellness Llc | 5395124622 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ralph Marc Sutherlin allows following entities to bill medicare on his behalf.
| Entity Name | Benewah Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336135136
PECOS PAC ID: 6709878622
Enrollment ID: O20040331001566 |
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| Entity Name | Syringa Health And Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588309900
PECOS PAC ID: 5395124622
Enrollment ID: O20220616002199 |
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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. Dr Ralph Marc Sutherlin 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 Address | Practice Location Address |
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Dr Ralph Marc Sutherlin, DO
622 W College Ave Ste 2,
St Maries, ID 83861-1822
Ph: (208) 568-7800 | Dr Ralph Marc Sutherlin, DO
622 W College Ave Ste 2,
St Maries, ID 83861-1822
Ph: (208) 568-7800 |
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