| Dr Yevgeniy Mikhaylovich Maksimenko, MD | |
| 
					1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638  | |
| (443) 538-0703 | |
| Not Available | 
| Full Name | Dr Yevgeniy Mikhaylovich Maksimenko | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine - Emergency Medical Services | 
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336670587 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 31031 (Nebraska) | Primary | 
| Entity Name | Third Coast Emergency Physicians Southwest Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126  | 
| Entity Name | Travis County Emergency Physicians Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492  | 
| Entity Name | Concord Medical Group Of Texas Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567  | 
| Entity Name | Emergency Medicine Services Of Tx, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124  | 
| Entity Name | Gulf Coast Emergency Physicians, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972286920 PECOS PAC ID: 6204280480 Enrollment ID: O20230921001356  | 
| Entity Name | Bexar Emergency Physicians Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548034994 PECOS PAC ID: 4981049129 Enrollment ID: O20240228001140  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Yevgeniy Mikhaylovich Maksimenko, MD 1020 Apollo Dr Bldg 225, Jbsa Lackland, TX 78236-5702 Ph: () -  | Dr Yevgeniy Mikhaylovich Maksimenko, MD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (443) 538-0703  | 
Daniel Allan Weidner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3403  | |
Dr. Anthony L Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3442  | |
Michael Joseph Rabener, DSC, EMPA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 808-433-3707  | |
Dr. Abigail Greenwell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331  | |
Shannon Nicole Thompson,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331  | |
Peter John Cuenca, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7331  |