Dr Yevgeniy Mikhaylovich Maksimenko, MD | |
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | |
(443) 538-0703 | |
Not Available |
Full Name | Dr Yevgeniy Mikhaylovich Maksimenko |
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Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 1100 Wilford Hall Loop, Jbsa Lackland, 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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1336670587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 31031 (Nebraska) | Primary |
Entity Name | Third Coast Emergency Physicians Southwest Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126 |
Entity Name | Travis County Emergency Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
Entity Name | Concord Medical Group Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Entity Name | Emergency Medicine Services Of Tx Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
Entity Name | Gulf Coast Emergency Physicians, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972286920 PECOS PAC ID: 6204280480 Enrollment ID: O20230921001356 |
Entity Name | Bexar Emergency Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548034994 PECOS PAC ID: 4981049129 Enrollment ID: O20240228001140 |
Mailing Address | Practice Location Address |
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Dr Yevgeniy Mikhaylovich Maksimenko, MD 1020 Apollo Dr Bldg 225, Jbsa Lackland, TX 78236-5702 Ph: () - | Dr Yevgeniy Mikhaylovich Maksimenko, MD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (443) 538-0703 |
Daniel Allan Weidner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3403 | |
Dr. Anthony L Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3442 | |
Dr. Abigail Greenwell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331 | |
Shannon Nicole Thompson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331 | |
Peter John Cuenca, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7331 | |
Trisha Marion Arno, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-0055 |