| 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 | 20 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 |
| San Luis Valley Health Conejos County Hospital | La jara, CO | Hospital |
| Uchealth Grandview Hospital | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology And Imaging Consultants Pc | 1850298647 | 43 |
| Uchealth Imaging Services Llc | 5799021291 | 157 |
| 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 |