Alaric C Lebaron, MD | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-3585 | |
Not Available |
Full Name | Alaric C Lebaron |
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Gender | Male |
Speciality | Anesthesiology |
Location | 101 Bodin Cir, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750336350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01055035A (Indiana) | Secondary |
207L00000X | Anesthesiology | 33999 (Arizona) | Secondary |
207L00000X | Anesthesiology | A89399 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | Sacsolano Anesthesia Exchange Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720401284 PECOS PAC ID: 9537382882 Enrollment ID: O20140514001267 |
Mailing Address | Practice Location Address |
---|---|
Alaric C Lebaron, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3585 | Alaric C Lebaron, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3585 |
Julia J Couto, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605 | |
Dr. Matthew Edward Ockander, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5370 | |
Dr. James R Cooney, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-673-3594 | |
Alexander Betz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Dr. Ali Morrell-balanon, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Department Of Anesthesia, Travis Afb, CA 94535 Phone: 707-423-3585 | |
Dr. Kent Burr, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3573 | |
Ryan Young, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3216 |