| Derek Dwayne Johanson, MD | |
|
1101 26th St S, Great Falls, MT 59405-5161 | |
| (406) 731-8888 | |
| (406) 731-8318 |
| Full Name | Derek Dwayne Johanson |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1101 26th St S, Great Falls, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598329237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 128563 (Montana) | Primary |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
| Entity Name | Cogent Healthcare Of Washington, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
| Entity Name | Hospitalist Medicine Physicians Of California-san Bernardino, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376188078 PECOS PAC ID: 4082041280 Enrollment ID: O20200228000868 |
| Entity Name | Hospitalist Medicine Physicians Of California - San Leandro, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689210874 PECOS PAC ID: 8224466172 Enrollment ID: O20200309000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Dwayne Johanson, MD Po Box 6010, Bmg Admin, Great Falls, MT 59406-6010 Ph: (406) 731-8888 | Derek Dwayne Johanson, MD 1101 26th St S, Great Falls, MT 59405-5161 Ph: (406) 731-8888 |
Elias J. Baied, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1401 25th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
Chu Shei Hong, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5319 Fax: 406-455-4173 | |
Dr. Xuan Mai Uyen Kieu, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
Dr. James Tennent Geren, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8876 | |
Dr. Michael Shun Yeen Yu, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8318 | |
Mr. Don Stuart Wipf, FNP-BC Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1609 41st St S, Great Falls, MT 59405 Phone: 605-360-8477 | |
Tauqeer Rahat, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 443-851-6886 |