Ilda Y Isaza, DO | |
101 Bodin Cir Unit 777, Travis Afb, CA 94535-1809 | |
(707) 423-3730 | |
Not Available |
Full Name | Ilda Y Isaza |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 101 Bodin Cir Unit 777, 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 |
---|---|---|---|
1871512913 | NPI | - | NPPES |
U3372W | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS8963 (Florida) | Primary |
Entity Name | East Florida Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811121205 PECOS PAC ID: 7315091899 Enrollment ID: O20090818000570 |
Mailing Address | Practice Location Address |
---|---|
Ilda Y Isaza, DO 101 Bodin Cir Unit 777, Travis Afb, CA 94535-1809 Ph: (707) 423-3730 | Ilda Y Isaza, DO 101 Bodin Cir Unit 777, Travis Afb, CA 94535-1809 Ph: (707) 423-3730 |
Dr. Patrick Aaron Shea, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3369 | |
Brett C Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3383 | |
Dr. Breanna L Gawrys, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3057 | |
Courtney Ann Dawley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 Fax: 707-423-3501 | |
Dr. Brian M Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7113 | |
Dr. David M Olson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3842 | |
Kent Do, Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7113 |