Zachary Ryan Eagle, MD in Travis Afb, CA - Medicare Internal Medicine

Zachary Ryan Eagle, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Travis Afb, California. His current practice location is 60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-5041.

Zachary Ryan Eagle is licensed to practice in Mississippi (license number 28122) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689166290.

Contact Information

	Zachary Ryan Eagle, MD
	60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, CA 94535-1809
	(707) 423-5041
	Not Available

Map and Direction

Physician's Profile

Full Name	Zachary Ryan Eagle
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	60 Mdg/sgcq, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689166290
Provider Enumeration Date: 05/31/2018
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 7315281730
Enrollment ID: I20210818003577

Medical Identifiers

Medical identifiers for Zachary Ryan Eagle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689166290	NPI	-	NPPES
05603775	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	28122 (Mississippi)	Primary
207R00000X	Internal Medicine	28122 (Mississippi)	Secondary

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. Zachary Ryan Eagle allows following entities to bill medicare on his behalf.

Entity Name	Singing River Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435

Entity Name	Singing River Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497

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. Zachary Ryan Eagle 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 Address	Practice Location Address
Zachary Ryan Eagle, MD 60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: () -	Zachary Ryan Eagle, MD 60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (707) 423-5041

Reviews and Comments

Internal Medicine Doctors in Travis Afb, CA

Dr. Leena M Joshi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-5930
Cherie J Renaud, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300
Joseph Cameron Sky, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300
Mark Derasmo, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7342
David James Carlson, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-7496
Jacob Kjelland, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129
Dr. Samuel Farrell, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000

Zachary Ryan Eagle, MD - Medicare Internal Medicine in Travis Afb, CA