| Dr John P Dutton, MD | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-3826 | |
| Not Available |
| Full Name | Dr John P Dutton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285600346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD60861174 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | C52209 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Los Banos | Los banos, CA | Hospital |
| Bear Valley Community Hospital | Big bear lake, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Elevate Emergency Medicine | 8325580707 | 18 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Elevate Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457118705 PECOS PAC ID: 8325580707 Enrollment ID: O20240613000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John P Dutton, MD 8185 Winterhawk Ln, Granite Bay, CA 95746-9018 Ph: (916) 787-4554 | Dr John P Dutton, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3826 |
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: Accepting Medicare Assignments 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. Teresa Ann Bonzani, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Mdos/sgoe, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3826 |