Daniel Skotte Jr. (NPI# 1316908205, PAC ID# 7113056060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1316908205 |
PAC ID by PECOS | 7113056060 |
Professional Enrollment ID | I20100603000764 |
Full Name | Daniel Skotte Jr. |
Address |
57067 Beaver Dr Sunriver OR 97707 |
Gender | M |
Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1982 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380047 | ST CHARLES MEDICAL CENTER - BEND |
Address | Phone | Organization |
---|---|---|
57067 Beaver Dr, Sunriver, OR 97707 |
Street Address |
57067 BEAVER DR |
City | SUNRIVER |
State | OR |
Zip | 97707 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brent G Bradley | Physical Therapy | 57067 Beaver Dr, Suite B, Sunriver, OR 97707-2502 |
Name | Specialty | Organization | Address |
---|---|---|---|
Duane Charles Wilson | Diagnostic Radiology | Glendora Radiological Assoc Inc | 57638 Red Alder Lane, Sunriver, OR 97707 |
City | SUNRIVER |
Zip Code | 97707 |
Specialty | FAMILY MEDICINE |
City + Specialty | SUNRIVER + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.