Rosanne L Sutter, MD | |
211 S 3rd St, Belleville, IL 62220-1915 | |
(618) 234-2120 | |
Not Available |
Full Name | Rosanne L Sutter |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 211 S 3rd St, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154422673 | NPI | - | NPPES |
036103098 | Medicaid | IL | |
08232204 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-103098 (Illinois) | Primary |
Entity Name | Uptown Emergency Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811135882 PECOS PAC ID: 8921096850 Enrollment ID: O20040430001269 |
Entity Name | Deaconess Illinois Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
Entity Name | Deaconess Illinois Red Bud Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619693926 PECOS PAC ID: 9537531579 Enrollment ID: O20230221000484 |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Mailing Address | Practice Location Address |
---|---|
Rosanne L Sutter, MD Po Box 8882, Fort Worth, TX 76124-0882 Ph: (817) 451-4208 | Rosanne L Sutter, MD 211 S 3rd St, Belleville, IL 62220-1915 Ph: (618) 234-2120 |
Wallace K Abel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220 Phone: 618-234-2566 Fax: 618-234-5650 | |
Dr. Shannon Erin Witty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220 Phone: 618-233-7880 | |
Naveen Kumar Reddy Bondalapati, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-3066 Fax: 618-257-6679 | |
David J Nyquist, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 | |
Niraj J Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7000 | |
Brett Allen Nance, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220 Phone: 618-233-7880 Fax: 618-222-4792 |