| Mr Lyle Sutherland, | |
|
525 N Foster St, Mitchell, SD 57301-2966 | |
| (605) 995-2000 | |
| Not Available |
| Full Name | Mr Lyle Sutherland |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 525 N Foster St, Mitchell, South Dakota |
| 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 |
|---|---|---|---|
| 1841270691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0571 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Queen Of Peace | 9335050806 | 105 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lyle Sutherland, 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-2000 | Mr Lyle Sutherland, 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-2000 |
Mr. Dan Bloodgood, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 | |
Ms. Sheryl Roesler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 | |
Mr. Ed Higgins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 | |
Ms. Julie Hegg, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 | |
Mrs. Kim Rubendall, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 | |
Mr. Leonard Scheich, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 |