Dr Jamison Wade Bohl, MD | |
4901 Thompson Pkwy, Johnstown, CO 80534-6426 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Jamison Wade Bohl |
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Gender | Male |
Speciality | Family Medicine |
Location | 4901 Thompson Pkwy, Johnstown, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508849282 | NPI | - | NPPES |
022682 | Other | CO | KAISER COMMERCIAL NUMBER |
28028872 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A86826 (California) | Secondary |
207Q00000X | Family Medicine | 51010 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
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Dr Jamison Wade Bohl, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Jamison Wade Bohl, MD 4901 Thompson Pkwy, Johnstown, CO 80534-6426 Ph: (303) 338-4545 |
Dr. Joseph Edwin Gregory, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974 | |
Drake Evan Sisneros, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 473 Castle Pines Ave Ste 1, Johnstown, CO 80534 Phone: 970-587-7781 Fax: 970-587-7738 | |
Steven Michael Hill, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4846 Larimer Pkwy Bldg 1, Johnstown, CO 80534 Phone: 970-624-2830 | |
Dr. Courtney Beth Isley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974 | |
Thomas A Kenigsberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974 Fax: 970-587-5466 | |
Jacquelyn L Stanton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4846 Larimer Pkwy Bldg 1, Johnstown, CO 80534 Phone: 970-624-2830 |