Dr Samuel Farrell, MD | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-3000 | |
Not Available |
Full Name | Dr Samuel Farrell |
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Gender | Male |
Speciality | Internal 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 |
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1043742570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 0101266361 (Virginia) | Primary |
Entity Name | Aspen Valley Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518960814 PECOS PAC ID: 9234123266 Enrollment ID: O20040413000642 |
Entity Name | Aspen Valley Hospital Clinics, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003306168 PECOS PAC ID: 3375891013 Enrollment ID: O20180813000798 |
Mailing Address | Practice Location Address |
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Dr Samuel Farrell, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3000 | Dr Samuel Farrell, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3000 |
Dr. Leena M Joshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-5930 | |
Cherie J Renaud, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 | |
Joseph Cameron Sky, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 | |
Mark Derasmo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7342 | |
David James Carlson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-7496 | |
Jacob Kjelland, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129 |