| Michael Stewart Hampton, | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-3826 | |
| Not Available |
| Full Name | Michael Stewart Hampton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| 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 |
|---|---|---|---|
| 1649480542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A (Indiana) | 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 |
|---|---|
| Michael Stewart Hampton, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3826 | Michael Stewart Hampton, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3826 |
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: Medicare Enrolled 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. Lane Clayton Thaut, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3000 |