| Frederick Johnson, MD | |
|
1200 College Dr, Rock Springs, WY 82901-5868 | |
| (307) 352-8350 | |
| (307) 352-8178 |
| Full Name | Frederick Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 50 Years |
| Location | 1200 College Dr, Rock Springs, Wyoming |
| 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 |
|---|---|---|---|
| 1891780029 | NPI | - | NPPES |
| 100345950 | Medicaid | IN | |
| 314470 | Other | WY | BSWY |
| 605960009 | Other | WY | FBL |
| 123610500 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01028913 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunset Emergency Physicians Llc | 7214113042 | 9 |
| Entity Name | Sunset Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871504860 PECOS PAC ID: 7214113042 Enrollment ID: O20110512000291 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Entity Name | Exceptional Physician Group Arizona, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447910229 PECOS PAC ID: 0042605008 Enrollment ID: O20220310000502 |
| Entity Name | Exceptional Physicians Group Yuma Hospital Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235857699 PECOS PAC ID: 3173983186 Enrollment ID: O20230721000455 |
| Entity Name | Exceptional Physicians Group Bullhead City Hospital Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518732023 PECOS PAC ID: 9335599604 Enrollment ID: O20231228002414 |
| Entity Name | Exceptional Physicians Group Prescott Hospital Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720807670 PECOS PAC ID: 0446775373 Enrollment ID: O20250423001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Johnson, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Frederick Johnson, MD 1200 College Dr, Rock Springs, WY 82901-5868 Ph: (307) 352-8350 |
Jonathan R Roddy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 College Dr, Rock Springs, WY 82901 Phone: 307-352-8350 Fax: 307-352-8178 | |
Ronald James Mckee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 College Dr, Rock Springs, WY 82901 Phone: 307-352-8350 Fax: 307-352-8178 | |
Dr. Howard Wm Burns, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 College Dr, Rock Springs, WY 82901 Phone: 307-875-7730 | |
Dr. Kathryn Ann Collins, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 College Dr, Rock Springs, WY 82901 Phone: 307-875-7730 | |
John A Sherman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 College Drive, Rock Springs, WY 82901 Phone: 307-352-8350 Fax: 307-352-8178 | |
Dr. Fergus Thornton, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 College Dr, Rock Springs, WY 82901 Phone: 307-352-8350 Fax: 307-352-8178 | |
Ragnvaldr Buck Bjornsson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 College Dr, Rock Springs, WY 82901 Phone: 307-362-3711 Fax: 307-352-8178 |