Lee Thomas Church, MD in Travis Afb, CA - Medicare Family Practice

Lee Thomas Church, MD is a medicare enrolled "Family Medicine" physician in Travis Afb, California. He went to University Of Minnesota Medical School and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Humboldt General Hospital, Deer River Healthcare Center Inc, The Duluth Clinic Ltd and his current practice location is 60mdg/sgof, 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (218) 259-8740.

Lee Thomas Church is licensed to practice in Nevada (license number 16373) 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 1235428889.

Contact Information

	Lee Thomas Church, MD
	60mdg/sgof, 101 Bodin Cir, Travis Afb, CA 94535-1800
	(218) 259-8740
	Not Available

Map and Direction

Physician's Profile

Full Name	Lee Thomas Church
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	60mdg/sgof, 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:

Lee Thomas Church attended and graduated from University Of Minnesota Medical School in 2014

NPI Data:

NPI Number: 1235428889
Provider Enumeration Date: 04/05/2011
Last Update Date: 03/10/2020

Medicare PECOS Information:

PECOS PAC ID: 1759508740
Enrollment ID: I20160617001273

Medical Identifiers

Medical identifiers for Lee Thomas Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235428889	NPI	-	NPPES
1235428889	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27080 (Nebraska)	Secondary
208M00000X	Hospitalist	16373 (Nevada)	Secondary
207Q00000X	Family Medicine	16373 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Humboldt General Hospital	Winnemucca, NV	Hospital
Deer River Healthcare Center	Deer river, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Humboldt General Hospital	5193709798	36
Deer River Healthcare Center Inc	1850388448	7
The Duluth Clinic Ltd	2567374283	949

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. Lee Thomas Church allows following entities to bill medicare on his behalf.

Entity Name	Humboldt General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195

Entity Name	Humboldt General Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1750498010 PECOS PAC ID: 5193709798 Enrollment ID: O20061104000361

Entity Name	Rural Physicians Group-pannu Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20170501002251

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. Lee Thomas Church 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
Lee Thomas Church, MD 101 Bodin Cir, Travis Afb, CA 94535 Ph: () -	Lee Thomas Church, MD 60mdg/sgof, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (218) 259-8740

Reviews and Comments

Family Medicine Doctors in Travis Afb, CA

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

Lee Thomas Church, MD - Medicare Family Practice in Travis Afb, CA