| 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 |
| Experience | 8 Years |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| Holzer Medical Center Jackson | Jackson, OH | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Innova Emergency Medical Associates Pc | 2860633435 | 59 |
| Emergency Professional Services Pc | 6901707272 | 95 |
| 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 | |
Dr. Owen Scott, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 |