Dr Jason D Bothwell, MD | |
Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-7820 | |
(808) 286-0208 | |
Not Available |
Full Name | Dr Jason D Bothwell |
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Gender | Male |
Speciality | Emergency Medicine |
Location | Brooke Army Medical Center, Jbsa Fort Sam Houston, Texas |
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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1760548754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 60142326 (Washington) | Primary |
Entity Name | Olympia Emergency Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346267796 PECOS PAC ID: 9335035633 Enrollment ID: O20040224000907 |
Entity Name | Northwest Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Mailing Address | Practice Location Address |
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Dr Jason D Bothwell, MD 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (808) 286-0208 | Dr Jason D Bothwell, MD Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-7820 Ph: (808) 286-0208 |
Josh Henryk Bukowski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78209 Phone: 210-916-4141 | |
Dr. Pablo Oscar Medina Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Division Of Undersea And Hyperbaric Medicine, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 210-539-8000 | |
Dr. Andrew James Kuschnerait, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Brook Army Medical Center, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-0808 | |
Emily Raetz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-0808 | |
Dr. Taylor James, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-0808 | |
Eric Steven Kretz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-0808 |