Philip Gabriel Johnson, MD | |
1765 E Lincoln Rd, Kokomo, IN 46902-3993 | |
(765) 236-8380 | |
(907) 543-6366 |
Full Name | Philip Gabriel Johnson |
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Gender | Male |
Speciality | Family Medicine |
Location | 1765 E Lincoln Rd, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902197726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A123676 (California) | Secondary |
207Q00000X | Family Medicine | 102782 (Alaska) | Secondary |
207Q00000X | Family Medicine | 01084472A (Indiana) | Primary |
Entity Name | Yukon-kuskokwim Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
Mailing Address | Practice Location Address |
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Philip Gabriel Johnson, MD 1765 E Lincoln Rd, Kokomo, IN 46902-3993 Ph: (657) 236-8380 | Philip Gabriel Johnson, MD 1765 E Lincoln Rd, Kokomo, IN 46902-3993 Ph: (765) 236-8380 |
Dr. Eric Tuchscherer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Keith Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Dr. David Alan Cheesman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
William Mohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902 Phone: 765-455-5400 Fax: 765-865-3912 | |
Emily A Backer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 E Southway Blvd, Kokomo, IN 46902 Phone: 765-865-3300 Fax: 765-865-3306 | |
Dr. Rose Paul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 138 N Dixon Rd, Kokomo, IN 46901 Phone: 765-236-8282 | |
William G Terpstra, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 821 N Dixon Rd, Kokomo, IN 46901 Phone: 765-452-0878 Fax: 765-452-1826 |