Douglas Brent Rutan, DPM | |
100 E 33rd St Ste 206, Vancouver, WA 98663-2776 | |
(360) 695-1334 | |
(360) 992-1159 |
Full Name | Douglas Brent Rutan |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 33 Years |
Location | 100 E 33rd St Ste 206, Vancouver, Washington |
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 |
---|---|---|---|
1821081613 | NPI | - | NPPES |
164425100000 | Other | PREMARA | |
480014538 | Other | RR MCR | |
2047640 | Medicaid | WA | |
050259000 | Other | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | P0515 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clover Podiatry Pllc | 2466870118 | 2 |
Provider Name | Clover Podiatry Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912525288 PECOS PAC ID: 2466870118 Enrollment ID: O20200914001003 |
Mailing Address | Practice Location Address |
---|---|
Douglas Brent Rutan, DPM 100 E 33rd St Ste 206, Vancouver, WA 98663-2776 Ph: (360) 695-1334 | Douglas Brent Rutan, DPM 100 E 33rd St Ste 206, Vancouver, WA 98663-2776 Ph: (360) 695-1334 |
Columbia Foot And Ankle Clinic, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 12411 Ne 70th Cir, Vancouver, WA 98682 Phone: 602-615-9915 | |
Dynamic Foot And Ankle Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8716 E Mill Plain Blvd, Vancouver, WA 98664 Phone: 503-530-9245 | |
Daren Benson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1735 | |
Dr. Anthony Joseph Domenigoni, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 203 Se Park Plaza Dr, Vancouver, WA 98684 Phone: 360-449-7040 | |
Brian Houng, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Ellen Mercedes Wenzel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 601 Se 117th Ave, Suite 240, Vancouver, WA 98683 Phone: 360-977-7815 Fax: 888-568-4875 | |
Dr. Christopher D Lotufo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave, Ste 140, Vancouver, WA 98684 Phone: 360-882-2778 Fax: 360-604-1697 |