Dr Daryl Ray Dutter, MD | |
150 Vera Ave, Ripon, CA 95366-2343 | |
(209) 599-4211 | |
(209) 599-4341 |
Full Name | Dr Daryl Ray Dutter |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 150 Vera Ave, Ripon, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578568366 | NPI | - | NPPES |
00G572330 | Medicaid | CA | |
68-0311001 | Other | CA | TAX ID |
080009801 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G57233 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Doctors Hospital Of Manteca | Manteca, CA | Hospital |
Stanislaus Surgical Hospital | Modesto, CA | Hospital |
Doctors Medical Center | Modesto, CA | Hospital |
Bethany Home Society San Joaquin County | Ripon, CA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ripon Family Physicians | 5496152845 | 8 |
Entity Name | Daryl R Dutter Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992025332 PECOS PAC ID: 7719001601 Enrollment ID: O20100830000435 |
Entity Name | Ripon Family Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356912638 PECOS PAC ID: 5496152845 Enrollment ID: O20210928000598 |
Mailing Address | Practice Location Address |
---|---|
Dr Daryl Ray Dutter, MD Po Box 210, Ripon, CA 95366-0210 Ph: (209) 599-4211 | Dr Daryl Ray Dutter, MD 150 Vera Ave, Ripon, CA 95366-2343 Ph: (209) 599-4211 |
Paul Michael Hogan, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4211 Fax: 209-599-7348 | |
James Jeffrey Daley, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4211 Fax: 209-599-7348 | |
Dr. Todd Laurence Terzo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4211 Fax: 209-599-7348 | |
Dr. Kent Alan Hufford, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 521 N Wilma Ave Ste A, Ripon, CA 95366 Phone: 209-599-4212 Fax: 209-599-7348 |