Travis Loidolt, DO | |
584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | |
(916) 800-4685 | |
(916) 512-3901 |
Full Name | Travis Loidolt |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 584 N Sunrise Ave Ste 100, Roseville, 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 |
---|---|---|---|
1811254329 | NPI | - | NPPES |
20A16495 | Other | CA | CA MED LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 20A16495 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Roseville Medical Center | Roseville, CA | Hospital |
Sierra Nevada Memorial Hospital | Grass valley, CA | Hospital |
Mercy Hospital Of Folsom | Folsom, CA | Hospital |
Marshall Medical Center | Placerville, CA | Hospital |
Sutter Auburn Faith Hospital | Auburn, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Travis Loidolt D.o. Inc | 4587991674 | 3 |
Entity Name | Travis Loidolt D.o. Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720649940 PECOS PAC ID: 4587991674 Enrollment ID: O20190813000431 |
Mailing Address | Practice Location Address |
---|---|
Travis Loidolt, DO 2220 E Bidwell St, Folsom, CA 95630-3463 Ph: (916) 800-4685 | Travis Loidolt, DO 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 Ph: (916) 800-4685 |
Dr. Elspeth Kinnucan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Department Of Orthopaedics Mob1, Roseville, CA 95661 Phone: 916-784-5732 | |
Thomas L. Voegeli, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Jose Manuel Mejia Oneto, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Sunrise Ave, Roseville, CA 95661 Phone: 916-791-1300 Fax: 916-734-7904 | |
Raphael M. Klug, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. James Y Mamone, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, #110, Roseville, CA 95661 Phone: 916-797-4725 Fax: 916-797-4726 | |
Kai A. Jaki, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
James P. Voigtlander, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |