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 |
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 |