James Odone, | |
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
(707) 423-7182 | |
Not Available |
Full Name | James Odone |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 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 |
---|---|---|---|
1104005172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD61064494 (Washington) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 2OA9181 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Converse County | Douglas, WY | Hospital |
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Peacehealth St John Medical Center | Longview, WA | Hospital |
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Wyoming Medical Center | Casper, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital Of Converse County | 2264340843 | 60 |
Radia Inc P S | 9931012812 | 256 |
Entity Name | Memorial Hospital Of Converse County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
Mailing Address | Practice Location Address |
---|---|
James Odone, 19020 33rd Ave W, Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | James Odone, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7182 |
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 | |
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 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Mdts/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 |