| Dr Jeremiah J Johnson, MD | |
|
1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | |
| (210) 292-7331 | |
| Not Available |
| Full Name | Dr Jeremiah J Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1100 Wilford Hall Loop, Lackland Afb, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104816362 | NPI | - | NPPES |
| 5907026 | Medicaid | NC | |
| N0076G | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | N4498 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | N4498 (Texas) | Primary |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremiah J Johnson, MD 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 Ph: (210) 292-7331 | Dr Jeremiah J Johnson, MD 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 Ph: (210) 292-7331 |
Dr. William Edward Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Berquist Drive, Suite 1, Whmc/gme, Lackland Afb, TX 78236 Phone: 210-292-7626 | |
Dr. Jeffrey D Morgan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 210-292-7331 |