Travis Loidolt DO Inc

PAC ID

4587991674The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

DME Supplier - Physician - Osteopathic Manipulative Medicine, Part B Supplier - Clinic/Group Practice

Enrolled in

CA

Enrollments

2

Group size

4 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

3In 2 places

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Travis Loidolt D.O. Inc

  • Orthopaedic Surgery of the Spine Physician
  • Roseville, CA
  • NPI 1720649940
• Travis Loidolt DO, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Folsom, CA
  • NPI 1033732151

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

• Brian R Blackburn, D.O.

  • Orthopaedic Surgery Physician
  • Folsom, CA
  • NPI 1851687297
• Jessica Theresa Greisen

  • Physician Assistant
  • Sacramento, CA
  • NPI 1972188910
• Phillip C. Lanum, P.A.

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1821109372
• Travis Loidolt, DO

  • Orthopaedic Surgery of the Spine Physician
  • Roseville, CA
  • NPI 1811254329
• Kristin Siu, PA-C

  • Physician Assistant
  • Folsom, CA
  • NPI 1841961414

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.