Lee Thomas Church, MD - Medicare Family Practice in Travis Afb, CA

  1. Home
  2. Family Medicine
  3. CA
  4. Travis Afb
Lee Thomas Church, MD is a medicare enrolled "Family Medicine" physician in Travis Afb, California. He went to University Of Minnesota Medical School and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Humboldt General Hospital, Deer River Healthcare Center Inc and his current practice location is 60mdg/sgof, 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (218) 259-8740.

Lee Thomas Church is licensed to practice in Nevada (license number 16373) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235428889.

Contact Information

Lee Thomas Church, MD
60mdg/sgof, 101 Bodin Cir,
Travis Afb, CA 94535-1800
(218) 259-8740
Not Available

Map and Direction




Physician's Profile

Full NameLee Thomas Church
GenderMale
SpecialityFamily Practice
Experience10 Years
Location60mdg/sgof, Travis Afb, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lee Thomas Church attended and graduated from University Of Minnesota Medical School in 2014
  NPI Data:
  • NPI Number: 1235428889
  • Provider Enumeration Date: 04/05/2011
  • Last Update Date: 03/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759508740
  • Enrollment ID: I20160617001273

Medical Identifiers

Medical identifiers for Lee Thomas Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235428889NPI-NPPES
1235428889MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27080 (Nebraska)Secondary
208M00000XHospitalist 16373 (Nevada)Secondary
207Q00000XFamily Medicine 16373 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Humboldt General HospitalWinnemucca, NVHospital
Deer River Healthcare CenterDeer river, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Humboldt General Hospital519370979835
Deer River Healthcare Center Inc18503884488

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lee Thomas Church allows following entities to bill medicare on his behalf.
Entity NameHumboldt General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922152784
PECOS PAC ID: 5193709798
Enrollment ID: O20040614000195
Entity NameHumboldt General Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1750498010
PECOS PAC ID: 5193709798
Enrollment ID: O20061104000361
Entity NameRural Physicians Group-pannu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891236584
PECOS PAC ID: 0345467486
Enrollment ID: O20170501002251

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lee Thomas Church is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lee Thomas Church, MD
101 Bodin Cir,
Travis Afb, CA 94535

Ph: () -		Lee Thomas Church, MD
60mdg/sgof, 101 Bodin Cir,
Travis Afb, CA 94535-1800

Ph: (218) 259-8740

Reviews and Comments


Family Medicine Doctors in Travis Afb, CA

Dr. Patrick Aaron Shea, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3369    
Brett C Johnson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3383    
Dr. Graham Wilson Wallace, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535
Phone: 707-423-3040    
Dr. Breanna L Gawrys, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3057    
Sara Mccall, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-2300    
Dr. Dillon Jason Savard, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7612    
Courtney Ann Dawley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3000    Fax: 707-423-3501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.