Jason Johnson, MD | |
200 W. Hospital Dr., Whiteriver, AZ 95491-0860 | |
(928) 338-4911 | |
Not Available |
Full Name | Jason Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 200 W. Hospital Dr., Whiteriver, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669517611 | NPI | - | NPPES |
1629236716 | Medicaid | AZ | |
353135 | Medicaid | AZ | |
1295993376 | Medicaid | AZ | |
1427335140 | Medicaid | AZ | |
1427335181 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 40617 (Arizona) | Primary |
Entity Name | Summit Healthcare Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
Entity Name | Summit Healthcare Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
Mailing Address | Practice Location Address |
---|---|
Jason Johnson, MD 200 W. Hospital Dr., Whiteriver, AZ 95491-0860 Ph: (928) 338-4911 | Jason Johnson, MD 200 W. Hospital Dr., Whiteriver, AZ 95491-0860 Ph: (928) 338-4911 |
Dr. Julia Hellman, MD MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 West Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-3737 | |
Mr. Thomas A. Vetto, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Patient Business Office, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3520 |