| Dr Kyle Jerry Michaelis, MD | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-5011 | |
| (707) 423-7496 |
| Full Name | Dr Kyle Jerry Michaelis |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 27 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 |
|---|---|---|---|
| 1861486425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A93950 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Davis Hospital | Davis, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacramento Heart And Vascular Medical | 8628040623 | 9 |
| Entity Name | Sacramento Heart & Vascular Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093767063 PECOS PAC ID: 8628040623 Enrollment ID: O20040810001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Jerry Michaelis, MD 466 Peacock Way, Vacaville, CA 95688-8783 Ph: (707) 631-8476 | Dr Kyle Jerry Michaelis, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5011 |
Dr. Leena M Joshi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-5930 | |
Cherie J Renaud, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 | |
Joseph Cameron Sky, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 | |
Mark Derasmo, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7342 | |
David James Carlson, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-7496 | |
Jacob Kjelland, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129 | |
Dr. Samuel Farrell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 |