Roderick W Fontenette, MD | |
101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535-1809 | |
(707) 423-3000 | |
Not Available |
Full Name | Roderick W Fontenette |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 16 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 |
---|---|---|---|
1164672499 | NPI | - | NPPES |
201021810 | Medicaid | IN |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health St Helena | Saint helena, CA | Hospital |
Sutter Roseville Medical Center | Roseville, CA | Hospital |
University Of California Davis Medical Center | Sacramento, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Adventist Health Clearlake | Clearlake, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The Univ Of Ca | 3375456619 | 1360 |
Inpatient Specialists Of California Pc | 3476864448 | 309 |
Cep America - California | 6103739131 | 974 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Regents Of The Univ Of Ca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | San Francisco Physicians International Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841220720 PECOS PAC ID: 5597679225 Enrollment ID: O20031117000934 |
Entity Name | Inpatient Specialists Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
Entity Name | Pura Vida Recovery Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346786696 PECOS PAC ID: 5193178283 Enrollment ID: O20240124004742 |
Mailing Address | Practice Location Address |
---|---|
Roderick W Fontenette, MD 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535-1809 Ph: (707) 423-3000 | Roderick W Fontenette, MD 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535-1809 Ph: (707) 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 | |
Carol Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 954-682-3481 |