| Travis Loidolt, DO | |
|
584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | |
| (916) 800-4685 | |
| (916) 512-3901 |
| Full Name | Travis Loidolt |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 14 Years |
| Location | 584 N Sunrise Ave Ste 100, Roseville, 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 |
|---|---|---|---|
| 1811254329 | NPI | - | NPPES |
| 20A16495 | Other | CA | CA MED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 20A16495 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Mercy Hospital Of Folsom | Folsom, CA | Hospital |
| Sutter Amador Hospital | Jackson, CA | Hospital |
| Sierra Nevada Memorial Hospital | Grass valley, CA | Hospital |
| Marshall Medical Center | Placerville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Travis Loidolt Do Inc | 4587991674 | 3 |
| Entity Name | Travis Loidolt Do Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720649940 PECOS PAC ID: 4587991674 Enrollment ID: O20190813000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Loidolt, DO 2220 E Bidwell St, Folsom, CA 95630-3463 Ph: (916) 800-4685 | Travis Loidolt, DO 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 Ph: (916) 800-4685 |
Dr. Elspeth Kinnucan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Department Of Orthopaedics Mob1, Roseville, CA 95661 Phone: 916-784-5732 | |
Thomas L. Voegeli, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Jose Manuel Mejia Oneto, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Sunrise Ave, Roseville, CA 95661 Phone: 916-791-1300 Fax: 916-734-7904 | |
Raphael M. Klug, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. James Y Mamone, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, #110, Roseville, CA 95661 Phone: 916-797-4725 Fax: 916-797-4726 | |
Kai A. Jaki, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
James P. Voigtlander, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |