| Katherine Dittman, DO | |
|
101 Bodin Cir, Fairfield, CA 94535-1809 | |
| (707) 423-3000 | |
| Not Available |
| Full Name | Katherine Dittman |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 101 Bodin Cir, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316486129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 20A20768 (California) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 20A20768 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Dittman, DO 101 Bodin Cir, Fairfield, CA 94535-1809 Ph: () - | Katherine Dittman, DO 101 Bodin Cir, Fairfield, CA 94535-1809 Ph: (707) 423-3000 |
Dr. Myo Swe Chang, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 103 Bodin Cir, Bld 778, Fairfield, CA 94535 Phone: 707-437-1817 Fax: 707-437-1809 | |
Elizabeth W. Fernandes, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-5053 | |
Dr. Jeannette Peterson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1261 Travis Blvd, Suite 100, Fairfield, CA 94533 Phone: 707-422-0543 Fax: 707-422-0549 | |
Warren Joseph A San Diego, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5080 | |
Maria Conley, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3000 | |
Son Lam Nguyen, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1525 Webster St, A, Fairfield, CA 94533 Phone: 707-423-9484 | |
Sumera Ahmed, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-553-5938 |