Desire M Andersen, MD in South Bend, IN

Desire M Andersen, MD is a medicare enrolled "Pediatrics" physician in South Bend, Indiana. Her current practice location is 615 N Michigan St Fl 5, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-7275.

Desire M Andersen is licensed to practice in Michigan (license number 4301103974) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093033029.

Contact Information

	Desire M Andersen, MD
	615 N Michigan St Fl 5, South Bend, IN 46601-1033
	(574) 647-7275
	(574) 647-3696

Map and Direction

Physician's Profile

Full Name	Desire M Andersen
Gender	Female
Speciality	Pediatrics
Location	615 N Michigan St Fl 5, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093033029
Provider Enumeration Date: 05/14/2010
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 0143464982
Enrollment ID: I20130918000428

Medical Identifiers

Medical identifiers for Desire M Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093033029	NPI	-	NPPES
1093033029	Medicaid	MI
300089479	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301103974 (Michigan)	Primary

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. Desire M Andersen allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Desire M Andersen 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 Address	Practice Location Address
Desire M Andersen, MD 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-3725	Desire M Andersen, MD 615 N Michigan St Fl 5, South Bend, IN 46601-1033 Ph: (574) 647-7275

Reviews and Comments

Pediatrics Doctors in South Bend, IN

Angela C Herman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895
Asad Ansari, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5550, South Bend, IN 46601 Phone: 574-647-2550 Fax: 574-647-1129
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Ruchita Kachru, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248

Desire M Andersen, MD - Medicare Pediatrics in South Bend, IN