Dr Lance Dustin Edmonds, MD in Travis Afb, CA - Medicare Diagnostic Radiology

Dr Lance Dustin Edmonds, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Travis Afb, California. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 101 Bodin Cir, Mdts/sgqx, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-7182.

Dr Lance Dustin Edmonds is licensed to practice in California (license number A108694) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124214374.

Contact Information

	Dr Lance Dustin Edmonds, MD
	101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535-1809
	(707) 423-7182
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lance Dustin Edmonds
Gender	Male
Speciality	Diagnostic Radiology
Experience	20 Years
Location	101 Bodin Cir, Travis Afb, 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.

Medical Education and Training:

Dr Lance Dustin Edmonds attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2004

NPI Data:

NPI Number: 1124214374
Provider Enumeration Date: 09/21/2007
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 8729132048
Enrollment ID: I20221026000712

Medical Identifiers

Medical identifiers for Dr Lance Dustin Edmonds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124214374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	380515-1205 (Utah)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A108694 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Payson, UT	Hospital
Timpanogos Regional Hospital	Orem, UT	Hospital
Jordan Valley Medical Center	West jordan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	386

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. Dr Lance Dustin Edmonds allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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 Lance Dustin Edmonds 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 Lance Dustin Edmonds, MD David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7215	Dr Lance Dustin Edmonds, MD 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535-1809 Ph: (707) 423-7182

Reviews and Comments

Radiology Doctors in Travis Afb, CA

Dr. Teddy Jinnteh Su, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181
Dr. Zoltan A. Varro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119

Dr Lance Dustin Edmonds, MD - Medicare Diagnostic Radiology in Travis Afb, CA