Dr Stacey Johnston, MD - Medicare Hospitalist in South Bend, IN

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Dr Stacey Johnston, MD is a medicare enrolled "Hospitalist" physician in South Bend, Indiana. Her current practice location is 615 N Michigan St Fl 1, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-3050.

Dr Stacey Johnston is licensed to practice in Florida (license number ME137361) 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 1144414368.

Contact Information

Dr Stacey Johnston, MD
615 N Michigan St Fl 1,
South Bend, IN 46601-1033
(574) 647-3050
(574) 647-1094

Map and Direction




Physician's Profile

Full NameDr Stacey Johnston
GenderFemale
SpecialityHospitalist
Location615 N Michigan St Fl 1, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144414368
  • Provider Enumeration Date: 08/30/2007
  • Last Update Date: 11/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193861029
  • Enrollment ID: I20091007000514

Medical Identifiers

Medical identifiers for Dr Stacey Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144414368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME137361 (Florida)Secondary
207Q00000XFamily Medicine 01096098A (Indiana)Secondary
207Q00000XFamily Medicine 001842 (Georgia)Secondary
208M00000XHospitalist ME137361 (Florida)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. Dr Stacey Johnston allows following entities to bill medicare on her behalf.
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588613343
PECOS PAC ID: 5698688141
Enrollment ID: O20031111000018
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20100107000067

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 Stacey Johnston 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
Dr Stacey Johnston, MD
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-3437		Dr Stacey Johnston, MD
615 N Michigan St Fl 1,
South Bend, IN 46601-1033

Ph: (574) 647-3050

Reviews and Comments


Hospitalist Doctors in South Bend, IN

Dr. Matthew Darl Norton, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2102 E Inwood Rd, South Bend, IN 46614
Phone: 574-299-2400    Fax: 574-299-2410
Dr. Michelle Aileen Thompson, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3500    Fax: 574-647-1094
Dr. Sylvana Atallah, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 328 N Michigan St Ste F3, First Floor, South Bend, IN 46601
Phone: 262-527-7410    
Jena Ruth Kern, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3050    Fax: 574-647-1094
Thomas Deverne Bussineau, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3050    Fax: 574-647-1094

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.