Emily Raetz, | |
Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 | |
(210) 916-0808 | |
Not Available |
Full Name | Emily Raetz |
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Gender | Female |
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 |
---|---|---|---|
1740630482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-2254 (Guam) | Secondary |
207P00000X | Emergency Medicine | A151197 (California) | Primary |
Entity Name | Guam Healthcare Development Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
Mailing Address | Practice Location Address |
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Emily Raetz, Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 Ph: () - | Emily Raetz, Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 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 | |
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 |