Douglas Gary Sutcliffe Jr, NP-C is a medicare enrolled "Nurse Practitioner - Family" in South Range, Michigan. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lac Vieux Desert Band Of Lake Superior Chippewa Indians, Lac Vieux Desert Band Of Lake Superior Chippewa Indians and his current practice location is
Po Box 328, South Range, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 364-1359.
Douglas Gary Sutcliffe Jr is licensed to practice in Michigan (license number 4704271786) 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 1205406063.
Provider's Profile
| Full Name | Douglas Gary Sutcliffe Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | Po Box 328, South Range, Michigan |
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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:
- Douglas Gary Sutcliffe Jr graduated from nursing school in 2021
NPI Data:
- NPI Number: 1205406063
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 01/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 7911392139
- Enrollment ID: I20220324001463
Medical Identifiers
Medical identifiers for Douglas Gary Sutcliffe Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205406063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704271786 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lac Vieux Desert Band Of Lake Superior Chippewa Indians | 2567629181 | 15 |
| Lac Vieux Desert Band Of Lake Superior Chippewa Indians | 2567629181 | 15 |
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. Douglas Gary Sutcliffe Jr 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 |
|---|
Douglas Gary Sutcliffe Jr, NP-C
Po Box 328,
South Range, MI 49963-0328
Ph: (906) 364-1359 | Douglas Gary Sutcliffe Jr, NP-C
Po Box 328,
South Range, MI 49963-0328
Ph: (906) 364-1359 |
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