Dr Jordan Heath Gipson, MD | |
3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 | |
(210) 916-0808 | |
Not Available |
Full Name | Dr Jordan Heath Gipson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366821357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0101261725 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 2019032244 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Citizens Memorial Hospital | Bolivar, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citizens Memorial Hospital District | 2769574433 | 27 |
Entity Name | Citizens Memorial Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
Entity Name | Lake Forest Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023261716 PECOS PAC ID: 1759441884 Enrollment ID: O20081119000794 |
Entity Name | Bridgeton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053660076 PECOS PAC ID: 5193978948 Enrollment ID: O20130104000140 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan Heath Gipson, MD 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 Ph: (210) 916-0808 | Dr Jordan Heath Gipson, MD 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 Ph: (210) 916-0808 |
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. Jason D Bothwell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 808-286-0208 | |
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 |