| Ramon P Sotto, MD | |
|
166 19th St S, Suite 101, Sartell, MN 56377-4654 | |
| (320) 230-7788 | |
| (320) 230-7789 |
| Full Name | Ramon P Sotto |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 166 19th St S, Sartell, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972580454 | NPI | - | NPPES |
| 1972580454 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 41090 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Ramon P Sotto, MD 166 19th St S, Suite 101, Sartell, MN 56377-4654 Ph: (320) 230-7788 | Ramon P Sotto, MD 166 19th St S, Suite 101, Sartell, MN 56377-4654 Ph: (320) 230-7788 |
Dr. Adam Jeffrey Rupp, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 804 23rd St S, Sartell, MN 56377 Phone: 320-230-7788 | |
Mr. Mark J Thibault, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1901 Connecticut Ave S, Sartell, MN 56377 Phone: 320-259-4100 Fax: 320-257-5523 | |
Sara Ashley Botterill, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1901 Connecticut Ave S, Sartell, MN 56377 Phone: 320-259-4100 Fax: 320-257-5523 |