Dr Cletus Gary Bodensteiner, MD is a medicare enrolled "Anesthesiology" physician in Willits, California. His current practice location is
230 Haehl Creek Ct, Willits, California. You can reach out to his office (for appointments etc.) via phone at
(707) 459-2708.
Dr Cletus Gary Bodensteiner is licensed to practice in California (license number G24841) 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 1477891794.
Physician's Profile
Full Name | Dr Cletus Gary Bodensteiner |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 230 Haehl Creek Ct, Willits, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477891794
- Provider Enumeration Date: 01/21/2013
- Last Update Date: 01/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 4385860220
- Enrollment ID: I20140729002229
Medical Identifiers
Medical identifiers for Dr Cletus Gary Bodensteiner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477891794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | G24841 (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. Dr Cletus Gary Bodensteiner 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 |
Dr Cletus Gary Bodensteiner, MD 230 Haehl Creek Ct, Willits, CA 95490-5755 Ph: (707) 459-2708 | Dr Cletus Gary Bodensteiner, MD 230 Haehl Creek Ct, Willits, CA 95490-5755 Ph: (707) 459-2708 |
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