Dr Ralph Marc Sutherlin, DO | |
427 12th St, Plummer, ID 83851-4000 | |
(208) 686-1931 | |
(208) 686-1336 |
Full Name | Dr Ralph Marc Sutherlin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 26 Years |
Location | 427 12th St, Plummer, Idaho |
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 |
---|---|---|---|
1245291772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | O-264 (Idaho) | Secondary |
207Q00000X | Family Medicine | O-264 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Benewah Community Hospital | St maries, ID | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Benewah Medical Center | 6709878622 | 17 |
Entity Name | Benewah Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336135136 PECOS PAC ID: 6709878622 Enrollment ID: O20040331001566 |
Mailing Address | Practice Location Address |
---|---|
Dr Ralph Marc Sutherlin, DO 3340 E. Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5189 | Dr Ralph Marc Sutherlin, DO 427 12th St, Plummer, ID 83851-4000 Ph: (208) 686-1931 |
Dr. Terry R Reisner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 427 N 12th, Plummer, ID 83851 Phone: 208-686-1931 | |
Dr. Marilou Marcelo Gonzalez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Mairmn Health, 427 N. 12th Street, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 | |
Mary Elizabeth Barinaga, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 B Street, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-0242 | |
Coy Fullen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 427 N 12th St, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 |