| Alisha D Johnson, NP | |
|
11800 E 12 Mile Rd, Warren, MI 48093-3472 | |
| (586) 573-5000 | |
| Not Available |
| Full Name | Alisha D Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 11800 E 12 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184153801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704239766 (Michigan) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 4704239766 (Michigan) | Primary |
| Entity Name | Ascension Medical Group Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha D Johnson, NP 41625 Coulon Dr, Clinton Township, MI 48038-2223 Ph: () - | Alisha D Johnson, NP 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5000 |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Olga Dmitryuk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 | |
Melanie A Rogus, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 30713 Schoenherr Rd, Warren, MI 48088 Phone: 586-284-2643 Fax: 586-265-2170 | |
Shawn Hillis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30589 Saint Onge Cir, Warren, MI 48088 Phone: 586-439-8799 | |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841 | |
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 |