Dr Gregory Michael Johnston, MD | |
Madigan Army Medical Center, Department Of Emergency Medicine, Tacoma, WA 98431-0001 | |
(253) 968-1390 | |
Not Available |
Full Name | Dr Gregory Michael Johnston |
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Gender | Male |
Speciality | General Practice |
Location | Madigan Army Medical Center, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043282023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 0101235436 (Virginia) | Primary |
Entity Name | Williamsburg Emergency Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225079650 PECOS PAC ID: 3274516703 Enrollment ID: O20040608000155 |
Mailing Address | Practice Location Address |
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Dr Gregory Michael Johnston, MD 1412 Kittson St, Dupont, WA 98327-9719 Ph: (253) 964-2158 | Dr Gregory Michael Johnston, MD Madigan Army Medical Center, Department Of Emergency Medicine, Tacoma, WA 98431-0001 Ph: (253) 968-1390 |
Molly Cunard, General Practice Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0117 | |
Courtney Lavin, General Practice Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1790 | |
Dr. Glenn J. Kietzer, MD General Practice Medicare: Medicare Enrolled Practice Location: 15005 Pacific Ave, Spanaway General Medical, Tacoma, WA 98444 Phone: 253-537-3724 Fax: 253-537-6425 | |
Desislava Zlatanova Hite, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-8327 | |
Michael A. Bork, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2462 Fax: 253-968-2972 | |
Jessica Lynne Lewis-cruz, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0117 | |
Sean Egan, General Practice Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1250 |