| Levi Dodge, DO | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (916) 561-7793 | |
| Not Available |
| Full Name | Levi Dodge |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 101 Bodin Cir, 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 |
|---|---|---|---|
| 1598258386 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | NA (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Sutter Davis Hospital | Davis, CA | Hospital |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| 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 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Levi Dodge, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (916) 561-7793 | Levi Dodge, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (916) 561-7793 |
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: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129 | |
Dr. Samuel Farrell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 |