| Dr Walter Kip Johnson, MD | |
|
305 Preston Ave, Ione, CA 95640-9158 | |
| (209) 742-6144 | |
| Not Available |
| Full Name | Dr Walter Kip Johnson |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 51 Years |
| Location | 305 Preston Ave, Ione, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780919282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G32232 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iron Point Home Health Care Inc | Folsom, CA | Home health agency |
| United Home Care Of Northern California | Jackson, CA | Home health agency |
| Sutter Visiting Nurse Association | Sacramento, CA | Home health agency |
| Sutter Amador Hospital | Jackson, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Mark Twain Medical Center | San andreas, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| M A C T Health Board Incorporated | 8325936974 | 25 |
| Entity Name | M A C T Health Board Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20241011001898 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Kip Johnson, MD Po Box 939, Angels Camp, CA 95222-0939 Ph: (209) 754-6262 | Dr Walter Kip Johnson, MD 305 Preston Ave, Ione, CA 95640-9158 Ph: (209) 742-6144 |
Dr. Richard Parnell Galloway, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-4911 | |
Brett Stephan Williams, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-5970 Fax: 209-274-5917 |