Dr Ralph Marc Sutherlin, DO | |
622 W College Ave Ste 2, St Maries, ID 83861-1822 | |
(208) 568-7800 | |
(208) 568-7801 |
Full Name | Dr Ralph Marc Sutherlin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 26 Years |
Location | 622 W College Ave Ste 2, St Maries, Idaho |
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 |
---|---|---|---|
1245291772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | O-264 (Idaho) | Secondary |
207Q00000X | Family Medicine | O-264 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Benewah Community Hospital | St maries, ID | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Benewah Medical Center | 6709878622 | 19 |
Entity Name | Benewah Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336135136 PECOS PAC ID: 6709878622 Enrollment ID: O20040331001566 |
Mailing Address | Practice Location Address |
---|---|
Dr Ralph Marc Sutherlin, DO 622 W College Ave Ste 2, St Maries, ID 83861-1822 Ph: (208) 568-7800 | Dr Ralph Marc Sutherlin, DO 622 W College Ave Ste 2, St Maries, ID 83861-1822 Ph: (208) 568-7800 |
Karen D Libsch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 229 S 8th St, St Maries, ID 83861 Phone: 208-245-2591 Fax: 208-245-5246 | |
Mrs. Stephanie Marie Arar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St, St Maries, ID 83861 Phone: 208-245-5551 Fax: 208-245-5246 | |
Dr. Daniel Cooper Wester, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St, St Maries, ID 83861 Phone: 208-245-5551 Fax: 208-245-5246 |