| Dr Matthew Neil Van Dam, DO | |
|
60 Mdg/sgcj, 101 Bodin Cir, Travis Afb, CA 94535-1800 | |
| (707) 423-3977 | |
| Not Available |
| Full Name | Dr Matthew Neil Van Dam |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 60 Mdg/sgcj, 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 |
|---|---|---|---|
| 1689065666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20A17126 (California) | Primary |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Entity Name | Sacsolano Anesthesia Exchange Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720401284 PECOS PAC ID: 9537382882 Enrollment ID: O20140514001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Neil Van Dam, DO 60 Mdg/sgcj, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: () - | Dr Matthew Neil Van Dam, DO 60 Mdg/sgcj, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-3977 |
Julia J Couto, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605 | |
Dr. Matthew Edward Ockander, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5370 | |
Dr. James R Cooney, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-673-3594 | |
Alexander Betz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Dr. Ali Morrell-balanon, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Department Of Anesthesia, Travis Afb, CA 94535 Phone: 707-423-3585 | |
Dr. Kent Burr, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3573 | |
Ryan Young, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3216 |