| Peter Chen, MD | |
| 101 Bodin Cir, Medical Staff Office, Travis Afb, CA 94535-1809 | |
| (707) 423-3735 | |
| Not Available | 
| Full Name | Peter Chen | 
|---|---|
| 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 | 
|---|---|---|---|
| 1558510248 | NPI | - | NPPES | 
| 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 | Cep America - California | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 | 
| Entity Name | Team Physicians Of Northern California Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peter Chen, MD David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3040 | Peter Chen, MD 101 Bodin Cir, Medical Staff Office, Travis Afb, CA 94535-1809 Ph: (707) 423-3735 | 
| 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 |