Dr Daniel Scott Martineau, MD | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-7176 | |
(707) 423-7446 |
Full Name | Dr Daniel Scott Martineau |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
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 |
---|---|---|---|
1770564155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | G87245 (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 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Scott Martineau, MD 560 Kinsale Ct, Vacaville, CA 95688-9205 Ph: (707) 423-7176 | Dr Daniel Scott Martineau, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7176 |
Dr. Brian Leonardo Montenegro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
Dr. Chad Ian Tarter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7176 | |
Haritha Shiva O'hart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5323 | |
Luisa Sandoval, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 609-556-9811 | |
Dr. Robert Shane Weatherwax, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3906 | |
Dr. Amanda Marie Weindl, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Department Of Pediatrics, Travis Afb, CA 94535 Phone: 707-423-7176 |