Jason Andrew Booth, MD | |
470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 | |
(402) 250-2469 | |
Not Available |
Full Name | Jason Andrew Booth |
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Gender | Male |
Speciality | Family Medicine |
Location | 470 Chadbourne Rd Ste A, Fairfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215236443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27699 (Nebraska) | Secondary |
207Q00000X | Family Medicine | A130204 (California) | Primary |
Entity Name | Ole Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700976503 PECOS PAC ID: 7315934767 Enrollment ID: O20040427001735 |
Mailing Address | Practice Location Address |
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Jason Andrew Booth, MD 1141 Pear Tree Ln Ste 100, Napa, CA 94558-6485 Ph: (707) 254-1770 | Jason Andrew Booth, MD 470 Chadbourne Rd Ste A, Fairfield, CA 94534-9620 Ph: (402) 250-2469 |
Michael Balbin Santos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-427-4900 Fax: 707-432-2533 | |
Joel E Herness, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3911 | |
Mary Moreno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5000 | |
Dr. Jordan Ann Keys, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-469-4640 | |
Dr. Melissa G. Pearce, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2010 | |
Dr. Rebekah O Ayodele, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Pennsylvania Ave, Suite C, Fairfield, CA 94533 Phone: 707-428-4878 | |
Dr. James William Firman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 530 Union Ave, Fairfield, CA 94533 Phone: 707-421-6692 Fax: 707-421-6674 |