Dr Walter Kip Johnson, MD | |
305 Preston Ave, Ione, CA 95640-9158 | |
(209) 742-6144 | |
Not Available |
Full Name | Dr Walter Kip Johnson |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 49 Years |
Location | 305 Preston Ave, Ione, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780919282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G32232 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Home Care Of Northern California | Jackson, CA | Home health agency |
Iron Point Home Health Care Inc | Folsom, CA | Home health agency |
Sutter Amador Hospital | Jackson, CA | Hospital |
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
M A C T Health Board Incorporated | 8325936974 | 20 |
Entity Name | M A C T Health Board Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20040305001143 |
Mailing Address | Practice Location Address |
---|---|
Dr Walter Kip Johnson, MD Po Box 939, Angels Camp, CA 95222-0939 Ph: (209) 754-6262 | Dr Walter Kip Johnson, MD 305 Preston Ave, Ione, CA 95640-9158 Ph: (209) 742-6144 |
Dr. Richard Parnell Galloway, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-4911 | |
Brett Stephan Williams, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-5970 Fax: 209-274-5917 |