Dawn Marie Johnson, NP in Mishawaka, IN - Medicare Nurse Practitioner

Dawn Marie Johnson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mishawaka, Indiana. Her current practice location is 215 W 4th St, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 325-5961.

Dawn Marie Johnson is licensed to practice in Indiana (license number 71008402A) 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 1467936070.

Contact Information

	Dawn Marie Johnson, NP
	215 W 4th St, Mishawaka, IN 46544-1917
	(574) 325-5961
	Not Available

Map and Direction

Provider's Profile

Full Name	Dawn Marie Johnson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	215 W 4th St, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467936070
Provider Enumeration Date: 09/19/2018
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2163767344
Enrollment ID: I20181215000606

Medical Identifiers

Medical identifiers for Dawn Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467936070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28192361A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71008402A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71008402A (Indiana)	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. Dawn Marie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Bloomington Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871519074 PECOS PAC ID: 6709799851 Enrollment ID: O20040305000288

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

Entity Name	Indiana Center For Recovery Outpatient Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093412793 PECOS PAC ID: 3173966363 Enrollment ID: O20240205001766

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. Dawn Marie 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 Address	Practice Location Address
Dawn Marie Johnson, NP 215 W 4th St, Mishawaka, IN 46544-1917 Ph: (574) 325-5961	Dawn Marie Johnson, NP 215 W 4th St, Mishawaka, IN 46544-1917 Ph: (574) 325-5961

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Dawn Marie Johnson, NP - Medicare Nurse Practitioner in Mishawaka, IN