Donald L Sutmiller, DO is a medicare enrolled "General Practice" physician in Hominy, Oklahoma. His current practice location is
119 W Main St, Hominy, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 885-4640.
Donald L Sutmiller is licensed to practice in Oklahoma (license number 2274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629052311.
Physician's Profile
| Full Name | Donald L Sutmiller |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 119 W Main St, Hominy, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629052311
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 12/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 4587643739
- Enrollment ID: I20040720000452
Medical Identifiers
Medical identifiers for Donald L Sutmiller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629052311 | NPI | - | NPPES |
| 100135850A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 2274 (Oklahoma) | Secondary |
| 208D00000X | General Practice | 2274 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Donald L Sutmiller allows following entities to bill medicare on his behalf.
| Entity Name | Fairfax Medical Facilities Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538183173 PECOS PAC ID: 4284663360 Enrollment ID: O20060209000250 |
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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. Donald L Sutmiller 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 |
Donald L Sutmiller, DO 212 N Main St, Fairfax, OK 74637-3023 Ph: (918) 642-3100 | Donald L Sutmiller, DO 119 W Main St, Hominy, OK 74035-1031 Ph: (918) 885-4640 |
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