Tanner Bishoff, is a
Student In An Organized Health Care Education/training Program physician based in Travis Afb, California. Tanner Bishoff is licensed to practice in California (license number ) and his current practice location is 101 Bodin Cir, Travis Afb, California. He can be reached at his office (for appointments etc.) via phone at
(707) 423-3000.
NPI number for Tanner Bishoff is 1467101394 and his current mailing address is 101 Bodin Cir, Travis Afb, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467101394.
Physician's Profile
| Full Name | Tanner Bishoff |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 101 Bodin Cir, Travis Afb, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467101394
- Provider Enumeration Date: 03/18/2022
- Last Update Date: 06/12/2026
Medical Identifiers
Medical identifiers for Tanner Bishoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467101394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 01092643A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
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. Tanner Bishoff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tanner Bishoff,
101 Bodin Cir,
Travis Afb, CA 94535-1809
Ph: () - | Tanner Bishoff,
101 Bodin Cir,
Travis Afb, CA 94535-1809
Ph: (707) 423-3000 |
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