| Jarred Johnson, MD | |
|
101 Dates Dr, Ithaca, NY 14850-1342 | |
| (607) 277-2365 | |
| (607) 277-0104 |
| Full Name | Jarred Johnson |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 101 Dates Dr, Ithaca, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669761821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 274233 (New York) | Primary |
| 207R00000X | Internal Medicine | 274233 (New York) | Secondary |
| Entity Name | Schuyler Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760582142 PECOS PAC ID: 3577548262 Enrollment ID: O20040618000324 |
| Entity Name | Highland Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1902221518 PECOS PAC ID: 5496641631 Enrollment ID: O20070301000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Jarred Johnson, MD 1301 Trumansburg Rd, Suite P, Ithaca, NY 14850-1397 Ph: (607) 277-2365 | Jarred Johnson, MD 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 277-2365 |
Dr. Manish Thakur, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Dr. Fred Wayne Frankenberg Ii, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 Fax: 607-274-4198 | |
Dr. Candice M Oliver, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Hospitalist Office, Ithaca, NY 14850 Phone: 607-274-4296 Fax: 607-274-4198 |