Mr Todd Ryan Sudik, CRNP | |
100 Hospital Ave, Du Bois, PA 15801-1440 | |
(814) 375-3770 | |
(814) 375-3772 |
Full Name | Mr Todd Ryan Sudik |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 100 Hospital Ave, Du Bois, Pennsylvania |
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 |
---|---|---|---|
1710517560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP021318 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Penn Highland Dubois | Dubois, PA | Hospital |
Penn Highlands Brookville | Brookville, PA | Hospital |
Penn Highlands Elk | Saint marys, PA | Hospital |
Penn Highlands Huntingdon | Huntingdon, PA | Hospital |
Clarion Hospital | Clarion, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dubois Regional Medical Center | 5890689715 | 346 |
Dubois Regional Medical Group Pc | 8022917269 | 17 |
Entity Name | Dubois Regional Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285728915 PECOS PAC ID: 8022917269 Enrollment ID: O20040119000522 |
Entity Name | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1659534337 PECOS PAC ID: 5890689715 Enrollment ID: O20081208000059 |
Mailing Address | Practice Location Address |
---|---|
Mr Todd Ryan Sudik, CRNP 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 375-3770 | Mr Todd Ryan Sudik, CRNP 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 375-3770 |
Susan M. Mitchell, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-3770 Fax: 814-375-3772 | |
Zeke David Feyock, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-6440 Fax: 814-375-3081 | |
Brandy Danielle Hetrick, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-371-2200 | |
Michelle R Hallstrom, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 Beaver Dr, Du Bois, PA 15801 Phone: 814-371-4524 Fax: 814-371-0331 | |
Sierra Mckee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hospital Ave, Du Bois, PA 15801 Phone: 814-371-2200 | |
Jennifer Feldbauer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Hospital Ave Ste 215, Du Bois, PA 15801 Phone: 814-371-1717 Fax: 814-375-4422 | |
Amy Vezza, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Suite 211d, Du Bois, PA 15801 Phone: 814-375-6000 Fax: 814-375-9503 |