| Ida E Sutherland, FNP-BC | |
|
600 Randolph St, Radford, VA 24141-2428 | |
| (540) 639-5300 | |
| (540) 639-4653 |
| Full Name | Ida E Sutherland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 600 Randolph St, Radford, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003925108 | NPI | - | NPPES |
| 1003925108 | Other | VA | VA PREMIER |
| 1003925108 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024167940 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Clinic, Inc. | 9032250469 | 3 |
| Entity Name | Family Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740393891 PECOS PAC ID: 9032250469 Enrollment ID: O20100107000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Ida E Sutherland, FNP-BC 600 Randolph St, Radford, VA 24141-2428 Ph: (540) 639-5300 | Ida E Sutherland, FNP-BC 600 Randolph St, Radford, VA 24141-2428 Ph: (540) 639-5300 |
Jennifer Lynn Simpson, NP -BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Randolph St Ste 120, Radford, VA 24141 Phone: 540-731-3200 | |
Jessica Dowdy Windle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Randolph St, Radford, VA 24141 Phone: 540-639-5300 | |
Melissa Ann Carrico, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 | |
Ms. Deborah S Ring, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Box 7020, Radford, VA 24142 Phone: 540-831-7660 Fax: 540-831-7740 | |
Mrs. Meredith Spencer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Main St Ste B, Radford, VA 24141 Phone: 540-731-1600 Fax: 540-772-3444 | |
Ms. Janice Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 W Main St, Box 7020, Radford, VA 24141 Phone: 540-831-7660 Fax: 540-831-7740 |