| James Odone, | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-7182 | |
| Not Available |
| Full Name | James Odone |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| 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 |
|---|---|---|---|
| 1104005172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD61064494 (Washington) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2OA9181 (California) | Secondary |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
| Mailing Address | Practice Location Address |
|---|---|
| James Odone, 19020 33rd Ave W, Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | James Odone, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7182 |
Dr. Teddy Su, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
Tirzah Wende Prince Wait, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7208 | |
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Winnifred Wong, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691 | |
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119 | |
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597 |