| John Paul Sutkowski, MD | |
|
350 W Columbia St, Suite 420, Evansville, IN 47710-1782 | |
| (812) 422-3254 | |
| (812) 426-6388 |
| Full Name | John Paul Sutkowski |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 350 W Columbia St, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245227305 | NPI | - | NPPES |
| P00035360 | Other | IN | RAILROAD MEDICARE |
| P00035389 | Other | IN | RAILROAD MEDICARE |
| 200444930 | Medicaid | IN | |
| 64068794 | Medicaid | KY | |
| P00086100 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01057828A (Indiana) | Primary |
| Entity Name | Evansville Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891782983 PECOS PAC ID: 6406826031 Enrollment ID: O20040729001191 |
| Mailing Address | Practice Location Address |
|---|---|
| John Paul Sutkowski, MD 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 Ph: (812) 422-3254 | John Paul Sutkowski, MD 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 Ph: (812) 422-3254 |
Mr. John R Bies, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1120 Professional Blvd, Evansville, IN 47714 Phone: 812-479-9500 Fax: 812-437-0037 | |
Dr. Daniel Riherd, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-450-5000 | |
Dr. Bryan Mcdowell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4000 | |
Gary W Kerber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47750 Phone: 812-485-4415 Fax: 812-471-6650 | |
Dr. Alexander Matthew Clayton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 Fax: 812-426-6388 | |
Dr. Aly A. Razek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 N Burkhardt Rd, Evansville, IN 47715 Phone: 812-474-1110 Fax: 812-471-9282 | |
Dr. Michael Wayne Daugherty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 |