David Michael Johnson, DO - Medicare Sports Medicine in Mishawaka, IN

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David Michael Johnson, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Mishawaka, Indiana. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Saint Joseph Regional Medical Center-south Bend Campus Inc, Saint Joseph Regional Medical Center- Plymouth Campus Inc and his current practice location is 611 E Douglas Rd Ste 137, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-6214.

David Michael Johnson is licensed to practice in Indiana (license number 02005551A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467981464.

Contact Information

David Michael Johnson, DO
611 E Douglas Rd Ste 137,
Mishawaka, IN 46545-1464
(574) 335-6214
(574) 335-6215

Map and Direction




Physician's Profile

Full NameDavid Michael Johnson
GenderMale
SpecialitySports Medicine
Experience8 Years
Location611 E Douglas Rd Ste 137, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Michael Johnson graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1467981464
  • Provider Enumeration Date: 06/05/2017
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204105158
  • Enrollment ID: I20210526001066

Medical Identifiers

Medical identifiers for David Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467981464NPI-NPPES
02005551AOtherINSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 02005551A (Indiana)Primary
207Q00000XFamily Medicine 02005551A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179069
Saint Joseph Regional Medical Center- Plymouth Campus Inc953707133712

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Michael Johnson allows following entities to bill medicare on his behalf.
Entity NameSaint Joseph Regional Medical Center- Plymouth Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538585187
PECOS PAC ID: 9537071337
Enrollment ID: O20031223000588
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023844693
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameSaint Joseph Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225082878
PECOS PAC ID: 8325950843
Enrollment ID: O20040708000757

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Michael Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Michael Johnson, DO
707 Cedar St Ste 405,
South Bend, IN 46617-2059

Ph: () -		David Michael Johnson, DO
611 E Douglas Rd Ste 137,
Mishawaka, IN 46545-1464

Ph: (574) 335-6214

Reviews and Comments


Family Medicine Doctors in Mishawaka, IN

Theodore R Neumann, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545
Phone: 574-335-6580    
Dr. Josephine Schimizzi, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1505 South Spring Street, Mishawaka, IN 46544
Phone: 574-255-0726    
Dale Dennis Deardorff, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544
Phone: 574-247-3456    Fax: 574-247-3455
Dr. Jack S. Bartoszek, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544
Phone: 574-252-3085    Fax: 574-252-5906
Jennifer Anne Pennington, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544
Phone: 574-647-1900    Fax: 574-254-7222
Lynn Day, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5209 Breezewood Dr, Mishawaka, IN 46544
Phone: 574-255-2838    
Daniel J Triezenberg, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 420 W 4th St, Mishawaka, IN 46544
Phone: 219-462-7173    Fax: 574-307-7692

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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