Roderick W Fontenette, MD - Medicare Emergency Medicine in Travis Afb, CA

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Roderick W Fontenette, MD is a medicare enrolled "Emergency Medicine" physician in Travis Afb, California. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2008 and has 17 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Regents Of The Univ Of Ca, Inpatient Specialists Of California Pc, Trinity Emergency Physicians and his current practice location is 101 Bodin Cir, Central Credentialing, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3000.

Roderick W Fontenette is licensed to practice in California (license number 147303) 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 1164672499.

Contact Information

Roderick W Fontenette, MD
101 Bodin Cir, Central Credentialing,
Travis Afb, CA 94535-1809
(707) 423-3000
Not Available

Map and Direction




Physician's Profile

Full NameRoderick W Fontenette
GenderMale
SpecialityEmergency Medicine
Experience17 Years
Location101 Bodin Cir, 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:
  • Roderick W Fontenette attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2008
  NPI Data:
  • NPI Number: 1164672499
  • Provider Enumeration Date: 09/23/2008
  • Last Update Date: 05/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971780362
  • Enrollment ID: I20170321001288

Medical Identifiers

Medical identifiers for Roderick W Fontenette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164672499NPI-NPPES
201021810MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01069587A (Indiana)Secondary
207P00000XEmergency Medicine 35 096666 (Ohio)Secondary
207P00000XEmergency Medicine MD.203768 (Louisiana)Secondary
207P00000XEmergency Medicine 147303 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health St HelenaSaint helena, CAHospital
University Of California Davis Medical CenterSacramento, CAHospital
Dameron HospitalStockton, CAHospital
Adventist Health ClearlakeClearlake, CAHospital
Adventist Health Ukiah ValleyUkiah, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The Univ Of Ca33754566191468
Inpatient Specialists Of California Pc3476864448308
Trinity Emergency Physicians428417116645

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. Roderick W Fontenette allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameSan Francisco Physicians International Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841220720
PECOS PAC ID: 5597679225
Enrollment ID: O20031117000934
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915
Entity NamePura Vida Recovery Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346786696
PECOS PAC ID: 5193178283
Enrollment ID: O20240124004742
Entity NameTrinity Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508605635
PECOS PAC ID: 4284171166
Enrollment ID: O20240809000723

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. Roderick W Fontenette 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
Roderick W Fontenette, MD
101 Bodin Cir, Central Credentialing,
Travis Afb, CA 94535-1809

Ph: (707) 423-3000		Roderick W Fontenette, MD
101 Bodin Cir, Central Credentialing,
Travis Afb, CA 94535-1809

Ph: (707) 423-3000

Reviews and Comments


Emergency Medicine Doctors in Travis Afb, CA

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: Accepting Medicare Assignments
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    
Dr. Teresa Ann Bonzani, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 60 Mdos/sgoe, 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3826    

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.