| Jason Johnson, MD | |
|
200 W. Hospital Dr., Whiteriver, AZ 95491-0860 | |
| (928) 338-4911 | |
| Not Available |
| Full Name | Jason Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 200 W. Hospital Dr., Whiteriver, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669517611 | NPI | - | NPPES |
| 1629236716 | Medicaid | AZ | |
| 353135 | Medicaid | AZ | |
| 1295993376 | Medicaid | AZ | |
| 1427335140 | Medicaid | AZ | |
| 1427335181 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 40617 (Arizona) | Primary |
| Entity Name | Summit Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144209271 PECOS PAC ID: 3779568647 Enrollment ID: O20040623001125 |
| Entity Name | Summit Healthcare Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Johnson, MD 200 W. Hospital Dr., Whiteriver, AZ 95491-0860 Ph: (928) 338-4911 | Jason Johnson, MD 200 W. Hospital Dr., Whiteriver, AZ 95491-0860 Ph: (928) 338-4911 |
Dr. Julia Hellman, MD MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 West Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-3737 | |
Mr. Thomas A. Vetto, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Drive, Patient Business Office, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3520 |