| Dr Justin Denhart Dickson, DO | |
| 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-0387 | |
| Not Available | 
| Full Name | Dr Justin Denhart Dickson | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780119867 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 011468 (Arizona) | Secondary | 
| 207P00000X | Emergency Medicine | 34.013591 (Ohio) | Primary | 
| Entity Name | Emergency Medicine Specialists Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588640791 PECOS PAC ID: 7315851359 Enrollment ID: O20031114000252 | 
| Entity Name | Miami Valley Emergency Specialists, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 | 
| Entity Name | Holzer Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 | 
| Entity Name | Emergency Medicine Physicians Of Lancaster Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881025344 PECOS PAC ID: 8729216080 Enrollment ID: O20140113000127 | 
| Entity Name | Phs Emergency Billing Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578387486 PECOS PAC ID: 7810426947 Enrollment ID: O20250117002759 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Justin Denhart Dickson, DO 9201 W Thomas Rd, Phoenix, AZ 85037-3332 Ph: (623) 327-4000 | Dr Justin Denhart Dickson, DO 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-0387 | 
| Dr. Eric Michael Mozeleski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 | |
| Nora Gerson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-3203 | |
| James Michael Manley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, 88 Mdg/sgoe, Wright Patterson Afb, OH 45433 Phone: 720-323-5725 | |
| Jeffrey Nathan Harris, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9612 | |
| Dr. Roy Lee Johnson Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 | |
| Dr. Glenn David Burns, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 88 Mdg, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-8838 | |
| Ashley Rose Humphries,  Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 |