| Dr Evan Hodell, MD | |
|
Psc 836 Box 2670, Fpo, AE 09636-9998 | |
| (390) 955-6384 | |
| Not Available |
| Full Name | Dr Evan Hodell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | Psc 836 Box 2670, Fpo, Armed Forces Europe |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821408865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101273213 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | A139030 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Hodell, MD Naval Hospital Lemoore 937 Franklin Ave, Lemoore, CA 93246-0001 Ph: () - | Dr Evan Hodell, MD Psc 836 Box 2670, Fpo, AE 09636-9998 Ph: (390) 955-6384 |
Dr. John Brien Shapira, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: Psc 819 Box 18, Fpo, AE 09645 Phone: 011-349-56823439 | |
Stephanie E Wallace, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Psc 836, Box 122, Fpo, AE 09636 Phone: 570-573-4343 | |
Dr. Michael R Ancona Jr., DO Anesthesiology Medicare: Medicare Enrolled Practice Location: Naval Hospital Guantanamo Bay Cuba, Fpo, AE 09589 Phone: 011-539-972160 |