| Mr Douglas Edward Johnson, DO | |
|
505 N Main St, Ulysses, KS 67880-2135 | |
| (620) 356-1261 | |
| (620) 356-3846 |
| Full Name | Mr Douglas Edward Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 505 N Main St, Ulysses, Kansas |
| 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 |
|---|---|---|---|
| 1225039118 | NPI | - | NPPES |
| 30004456970001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0527920 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 05-27920 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Health Watch Health Care Of Liberal, Llc | Liberal, KS | Home health agency |
| St Catherine Hospital | Garden city, KS | Hospital |
| Southwest Medical Center | Liberal, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bob Wilson Memorial Grant County Hospital | 9436068632 | 9 |
| Commonspirit Kansas Inc | 4789595844 | 69 |
| Entity Name | Commonspirit Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
| Entity Name | Emergency Services Of Kansas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397098 PECOS PAC ID: 2062683808 Enrollment ID: O20110927000555 |
| Entity Name | Vep Hutchinson Emergency Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669879110 PECOS PAC ID: 5092031054 Enrollment ID: O20150310001308 |
| Entity Name | Usacs Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760018253 PECOS PAC ID: 4981507571 Enrollment ID: O20171113003104 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Edward Johnson, DO 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (303) 895-6371 | Mr Douglas Edward Johnson, DO 505 N Main St, Ulysses, KS 67880-2135 Ph: (620) 356-1261 |