| Dr Andrew Wong, DO | |
| 101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-3825 | |
| Not Available | 
| Full Name | Dr Andrew Wong | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| 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 | 
|---|---|---|---|
| 1619437811 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A21024 (California) | Primary | 
| Entity Name | California Emergency Associates A California Medical Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437611936 PECOS PAC ID: 9830426295 Enrollment ID: O20190807002329 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Andrew Wong, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3825 | Dr Andrew Wong, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3825 | 
| Dr. Andrew James Amack, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
| Cydney Elizabeth Middleton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 60 Mdg/sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
| Shea Boles, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
| Douglas Alfar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
| Dr. Jay Rathod, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 60th Mdg / Sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
| Roderick W Fontenette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535 Phone: 707-423-3000 | |
| Dr. Lane Clayton Thaut, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3000 |