Dr Lane Clayton Thaut, DO | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(708) 423-3000 | |
Not Available |
Full Name | Dr Lane Clayton Thaut |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174984058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R4911 (Texas) | Secondary |
207P00000X | Emergency Medicine | DOS-1915 (Hawaii) | Secondary |
207P00000X | Emergency Medicine | 17163 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Molokai General Hospital | Kaunakakai, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rp Medical Llc | 3779877485 | 16 |
Entity Name | Hawaii Emergency Physicians Associated Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843198 PECOS PAC ID: 2860390283 Enrollment ID: O20040127001137 |
Entity Name | Rp Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982094652 PECOS PAC ID: 3779877485 Enrollment ID: O20160803001405 |
Entity Name | Wh Il Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518603695 PECOS PAC ID: 4486060167 Enrollment ID: O20230707002619 |
Entity Name | Wh Ar Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235861147 PECOS PAC ID: 5799195376 Enrollment ID: O20240228002939 |
Entity Name | Wh Nj Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033853973 PECOS PAC ID: 8628432325 Enrollment ID: O20240229002247 |
Entity Name | Mc Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174264337 PECOS PAC ID: 4183955974 Enrollment ID: O20240314002227 |
Mailing Address | Practice Location Address |
---|---|
Dr Lane Clayton Thaut, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | Dr Lane Clayton Thaut, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (708) 423-3000 |
Dr. Andrew James Amack, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Shea Boles, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Douglas Alfar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Dr. Jay Rathod, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 60th Mdg / Sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Alexa Marie Gingras, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Roderick W Fontenette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Carol Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 954-682-3481 |