| Shaun Michael Gifford, MD | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-5215 | |
| Not Available |
| Full Name | Shaun Michael Gifford |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 20 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 |
|---|---|---|---|
| 1558576918 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA | |
| P01088750 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 149477 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enloe Medical Center | Chico, CA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Northbay Medical Center | Fairfield, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northbay Healthcare Group | 0042122244 | 293 |
| Providence Medical Foundation | 8921993205 | 1329 |
| Enloe Medical Center | 9739092388 | 325 |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| 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 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1770905994 PECOS PAC ID: 9739092388 Enrollment ID: O20140421000286 |
| Entity Name | Dameron Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033544325 PECOS PAC ID: 3971727967 Enrollment ID: O20140701000199 |
| Entity Name | Pinnacle Sjir |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437705456 PECOS PAC ID: 9638500374 Enrollment ID: O20200512003087 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun Michael Gifford, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | Shaun Michael Gifford, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5215 |
Kaitlin May Gruenberg, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5216 | |
Dr. Jane Alston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Circle, 60 Sgcs/sgcq, Travis Afb, CA 94533 Phone: 707-423-5224 | |
Danyal Fer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7842 | |
Dr. Bryan Christopher Curtis, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 60 Mdg/sgcq, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 786-423-5224 | |
Dr. Thomas Anthony Heafner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/60 Sgcs/sgch, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 314-691-1352 | |
Hilary Beth Loge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Fl Clinic3, Travis Afb, CA 94535 Phone: 916-843-9224 | |
Sarah Catherine Bradford, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 650-714-1986 |