Mrs Alisa Kathleen Johnson, MD | |
601 S Center Ave, Merrill, WI 54452-3404 | |
(262) 338-6176 | |
Not Available |
Full Name | Mrs Alisa Kathleen Johnson |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 601 S Center Ave, Merrill, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033256052 | NPI | - | NPPES |
000037070 | Other | WI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | DR.0057838 (Colorado) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 55894-20 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
San Luis Valley Health | Alamosa, CO | Hospital |
Uchealth Pikes Peak Regional Hospital | Woodland park, CO | Hospital |
Uchealth Grandview Hospital | Colorado springs, CO | Hospital |
San Luis Valley Health Conejos County Hospital | La jara, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology And Imaging Consultants, Pc | 1850298647 | 40 |
Uchealth Imaging Services Llc | 5799021291 | 130 |
Entity Name | Radiology & Imaging Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598700825 PECOS PAC ID: 1850298647 Enrollment ID: O20031218000702 |
Entity Name | Uchealth Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396210902 PECOS PAC ID: 5799021291 Enrollment ID: O20190103002022 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alisa Kathleen Johnson, MD 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 Ph: (330) 655-1869 | Mrs Alisa Kathleen Johnson, MD 601 S Center Ave, Merrill, WI 54452-3404 Ph: (262) 338-6176 |
Dr. Joseph Alan Heitz, Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 715-536-8671 | |
Dr. Kim M Hilliker, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 715-536-8671 |