David H Betat
LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC


Address: 925 Bevins Ct, Lakeport, CA 95453-9754
Phone: 70726383821204

David H Betat (NPI# 1659387512, PAC ID# 3173424058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1659387512
PAC ID by PECOS 3173424058
Professional Enrollment ID I20040114000507
Full Name David H Betat
Organization Legal Name LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
Address 925 Bevins Ct
Lakeport
CA 95453-9754
Phone Number 70726383821204
Gender M
Credential MD
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty FAMILY MEDICINE
Secondary Specialties HOSPITALIST
Group Practice PAC ID 8729975545
Number of Group Practice Members 15
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
051329 SUTTER LAKESIDE HOSPITAL
051317 ADVENTIST HEALTH CLEARLAKE

Other Locations

Address Phone Organization
925 Bevins Ct, Lakeport, CA 95453-9754 70726383821204 LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC

Organization Information

Organization Legal Name LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Andre P Lallande Family Medicine Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Susan Kay Miller Nurse Practitioner Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Tianita D Alexander Physician Assistant Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Sheldon K Sloan Physician Assistant Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Gemalli Austin Registered Dietitian Or Nutrition Professional Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Metasebia Bekele Physician Assistant Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Louise Loe Nurse Practitioner Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Faranak F Izadi Clinical Social Worker Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Diane E Bajada Nurse Practitioner Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754

Office Location

Street Address 925 BEVINS CT
City LAKEPORT
State CA
Zip 95453-9754

Physicians in the same location

Name Specialty Organization Address
Andre P Lallande Family Medicine Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Susan Kay Miller Nurse Practitioner Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Tianita D Alexander Physician Assistant Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Sheldon K Sloan Physician Assistant Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Gemalli Austin Registered Dietitian Or Nutrition Professional Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Metasebia Bekele Physician Assistant Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Louise Loe Nurse Practitioner Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Faranak F Izadi Clinical Social Worker Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754
Diane E Bajada Nurse Practitioner Lake County Tribal Health Consortium Inc 925 Bevins Ct, Lakeport, CA 95453-9754

Physicians in the same zip code

Name Specialty Organization Address
David Alwyn Jameson Chiropractic 930 11th St, Lakeport, CA 95453-4104
Geoffrey L Rice Ophthalmology Ukiah Adventist Hospital 475 N Forbes St, Lakeport, CA 95453-4725
Joanne M Lamonica Urology Ukiah Adventist Hospital 475 N Forbes St, Lakeport, CA 95453-4725
Randall E Woesner Ophthalmology Ukiah Adventist Hospital 475 N Forbes St, Lakeport, CA 95453-4725
Alanna Lee Wargula Podiatry Parkview Podiatry 175 Park St, Lakeport, CA 95453-4803
Katherine Andre Psychologist, Clinical 75 4th St, Lakeport, CA 95453-4804
Allison Jill Aclufi Clinical Psychologist 380 N Main St J, Lakeport, CA 95453-4845
Erin Alice Dailey Psychologist, Clinical 149 N Main St, Suite 200, Lakeport, CA 95453-4846
Mark L Buehnerkemper Optometry 120 S Main St, Lakeport, CA 95453-5017
David L Browning Optometry 225 S Main St, Lakeport, CA 95453-5018
Find all physicians in zip 95453

Competitor

Search similar physicians

City LAKEPORT
Zip Code 95453
Specialty FAMILY MEDICINE
City + Specialty LAKEPORT + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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