| Kevin Reece, DO | |
|
60 Mdg, 101 Bodin Cir, Travis Afb, CA 94535-1800 | |
| (707) 423-3825 | |
| Not Available |
| Full Name | Kevin Reece |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 60 Mdg, 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 |
|---|---|---|---|
| 1295114577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R0781 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | O-1611 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Reece, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Kevin Reece, DO 60 Mdg, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-3825 |
Dr. Andrew James Amack, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Cydney Elizabeth Middleton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 60 Mdg/sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Shea Boles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Douglas Alfar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Dr. Jay Rathod, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 60th Mdg / Sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Roderick W Fontenette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Dr. Teresa Ann Bonzani, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Mdos/sgoe, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3826 |