| Dr Amanda Marie Weindl, DO | |
| 101 Bodin Cir, Department Of Pediatrics, Travis Afb, CA 94535-1809 | |
| (707) 423-7176 | |
| Not Available | 
| Full Name | Dr Amanda Marie Weindl | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 101 Bodin Cir, Travis Afb, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699091280 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 863 (Nebraska) | Secondary | 
| 208000000X | Pediatrics | O-1021 (Idaho) | Primary | 
| Entity Name | Multicare Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Amanda Marie Weindl, DO 700 W. Ironwood Drive, Suite 155, Coeur D'alene, ID 83814-4462 Ph: (208) 667-0585 | Dr Amanda Marie Weindl, DO 101 Bodin Cir, Department Of Pediatrics, Travis Afb, CA 94535-1809 Ph: (707) 423-7176 | 
| Dr. Chad Ian Tarter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7176 | |
| Dr. Joshua Jude Sacha, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: Allergy/immunizations Clinic, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5107 | |
| Haritha Shiva O'hart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
| Luisa Sandoval, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 609-556-9811 | |
| Dr. Marc Nicholas Boggy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 402-294-8581 | |
| Dr. Robert Shane Weatherwax, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3906 |