Levi Dodge, DO in Travis Afb, CA - Medicare Internal Medicine

Levi Dodge, DO is a medicare enrolled "Internal Medicine" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (916) 561-7793.

Levi Dodge is licensed to practice in Mississippi (license number NA) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598258386.

Contact Information

	Levi Dodge, DO
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(916) 561-7793
	Not Available

Map and Direction

Physician's Profile

Full Name	Levi Dodge
Gender	Male
Speciality	Internal Medicine
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598258386
Provider Enumeration Date: 06/07/2018
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4082958541
Enrollment ID: I20221026002512

Medical Identifiers

Medical identifiers for Levi Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598258386	NPI	-	NPPES
NA	Other		NA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	NA (Mississippi)	Primary

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. Levi Dodge allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Levi Dodge 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
Levi Dodge, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (916) 561-7793	Levi Dodge, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (916) 561-7793

Reviews and Comments

Internal Medicine Doctors in Travis Afb, CA

Dr. Leena M Joshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-5930
Cherie J Renaud, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300
Joseph Cameron Sky, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300
David James Carlson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-7496
Jacob Kjelland, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129
Dr. Samuel Farrell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000
Dr. Richard Andrew Clark, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300

Levi Dodge, DO - Medicare Internal Medicine in Travis Afb, CA