| Dr Michael L Johnson, MD | |
|
4410 Watermelon Rd, Northport, AL 35473-5204 | |
| (205) 345-1520 | |
| (205) 345-1761 |
| Full Name | Dr Michael L Johnson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 4410 Watermelon Rd, 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 |
|---|---|---|---|
| 1114968443 | NPI | - | NPPES |
| 051043258 | Other | AL | BCBS AL |
| 000043258 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 00007004 (Alabama) | Primary |
| Entity Name | Alabama Dermatology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033128897 PECOS PAC ID: 4385633908 Enrollment ID: O20040510000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Johnson, MD 4410 Watermelon Rd, Northport, AL 35473-5204 Ph: (205) 345-1520 | Dr Michael L Johnson, MD 4410 Watermelon Rd, Northport, AL 35473-5204 Ph: (205) 345-1520 |
Dr. Cynthia C Lucy, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Robert D Griffith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Charles E Gambla, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Jeffery C Weeks, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. Karen Dietrich Walker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 | |
Dr. David B Jackson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4410 Watermelon Rd, Northport, AL 35473 Phone: 205-345-1520 Fax: 205-345-1761 |