| Mr Jonathan Eilers, | |
| 101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-7342 | |
| Not Available | 
| Full Name | Mr Jonathan Eilers | 
|---|---|
| Gender | Male | 
| Speciality | Internal 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 | 
|---|---|---|---|
| 1376937821 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | A145062 (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 | 
|---|---|
| Mr Jonathan Eilers, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7342 | Mr Jonathan Eilers, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7342 | 
| 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: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129 | |
| Dr. Samuel Farrell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 |