Dr Dwayne Edward Johnson, MD in Elkhart, IN

Dr Dwayne Edward Johnson, MD is a Pediatrics physician based in Elkhart, Indiana. Dr Dwayne Edward Johnson is licensed to practice in Indiana (license number 01073977A) and his current practice location is 236 Simpson Ave, Elkhart, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 584-7373.

NPI number for Dr Dwayne Edward Johnson is 1841379187 and his current mailing address is 148 W Hively Ave, Suite 1, Elkhart, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841379187.

Contact Information

	Dr Dwayne Edward Johnson, MD
	236 Simpson Ave, Elkhart, IN 46516-4666
	(574) 584-7373
	(574) 293-3744

Map and Direction

Physician's Profile

Full Name	Dr Dwayne Edward Johnson
Gender	Male
Speciality	Pediatrics
Location	236 Simpson Ave, Elkhart, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1841379187
Provider Enumeration Date: 11/06/2006
Last Update Date: 11/03/2023

Medical Identifiers

Medical identifiers for Dr Dwayne Edward Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841379187	NPI	-	NPPES
611336483	Other		COMMONWEALTH HEALTH ALLIA
611336483	Other		MAIL HANDLERS BENEFIT PLA
611336483	Other		PPONEXT
642886669	Medicaid	KY
200287610B	Medicaid	IN
611336483	Other		UNITED HEALTHCARE
2435769000	Other		PASSPORT ADVANTAGE
611336483	Other		HUMANA HEALTH PLAN, INC.
1087687	Other		PASSPORT HEALTH PLAN
611336483	Other		PREFERRED HEALTH PLAN
000000052119	Other		ANTHEM
2133380	Other		AETNA
611336483	Other		4MOST HEALTH NETWORK
87043	Other		FIRST HEALTH NETWORK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01073977A (Indiana)	Primary
208000000X	Pediatrics	28666 (Kentucky)	Secondary

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. Dr Dwayne Edward Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dwayne Edward Johnson, MD 148 W Hively Ave, Suite 1, Elkhart, IN 46517-2191 Ph: (574) 350-2500	Dr Dwayne Edward Johnson, MD 236 Simpson Ave, Elkhart, IN 46516-4666 Ph: (574) 584-7373

Reviews and Comments

Pediatrics Doctors in Elkhart, IN

Dr. Shahir Okhovat-ghahfarokhi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-389-4879
Christine Mamphey Dankwa, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 514-970-3256
Sandra H. Morgan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Emily Marie Kisor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313
Jody L Srof, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Jared Ray Dhaemers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Mary Alice M Reid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163

Dr Dwayne Edward Johnson, MD - Pediatrics in Elkhart, IN