| Dr Alisa Barr Johnson, MD | |
|
3909 Mcfarland Boulevard, Northport, AL 35476 | |
| (205) 333-1993 | |
| (205) 333-0782 |
| Full Name | Dr Alisa Barr Johnson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3909 Mcfarland Boulevard, Northport, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184668535 | NPI | - | NPPES |
| 07650330 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18467 (Mississippi) | Primary |
| Entity Name | Relias Emergency Medicine Specialists Of Tupelo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841664661 PECOS PAC ID: 6608179734 Enrollment ID: O20160125001174 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215501788 PECOS PAC ID: 5890101208 Enrollment ID: O20210603000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alisa Barr Johnson, MD 3909 Mcfarland Boulevard, Northport, AL 35476 Ph: (205) 333-1993 | Dr Alisa Barr Johnson, MD 3909 Mcfarland Boulevard, Northport, AL 35476 Ph: (205) 333-1993 |
Thomas Michael Mcintyre, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3909 Mcfarland Blvd, Northport, AL 35476 Phone: 205-333-1993 | |
William Crawford, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3909 Mcfarland Blvd, Northport, AL 35476 Phone: 205-333-1993 |