Dr Charisse D Johnson, MD - Medicare Pediatrics in Granger, IN

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Dr Charisse D Johnson, MD is a medicare enrolled "Pediatrics" physician in Granger, Indiana. Her current practice location is 229 Florence Ave Ste 233, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 855-4575.

Dr Charisse D Johnson is licensed to practice in Indiana (license number 01068390A) 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 1134399025.

Contact Information

Dr Charisse D Johnson, MD
229 Florence Ave Ste 233,
Granger, IN 46530-8048
(574) 855-4575
(833) 314-0410

Map and Direction




Physician's Profile

Full NameDr Charisse D Johnson
GenderFemale
SpecialityPediatrics
Location229 Florence Ave Ste 233, Granger, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134399025
  • Provider Enumeration Date: 03/06/2008
  • Last Update Date: 01/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860516440
  • Enrollment ID: I20100903000042

Medical Identifiers

Medical identifiers for Dr Charisse D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134399025NPI-NPPES
200987950MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01068390A (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. Dr Charisse D Johnson allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657
Entity NamePremier Pediatrics Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760084156
PECOS PAC ID: 5092119958
Enrollment ID: O20210813003134

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 Charisse D 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
Dr Charisse D Johnson, MD
229 Florence Ave Ste 233,
Granger, IN 46530-8048

Ph: (574) 855-4575		Dr Charisse D Johnson, MD
229 Florence Ave Ste 233,
Granger, IN 46530-8048

Ph: (574) 855-4575

Reviews and Comments


Pediatrics Doctors in Granger, IN

Mikael Denise Howard,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 52500 Fir Rd, Granger, IN 46530
Phone: 574-204-7050    Fax: 574-204-7047
Dr. Shanna Verma Kautzmann, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6913 N Main St Ste 200, Granger, IN 46530
Phone: 574-647-4540    Fax: 574-647-2567
Dr. Karen D. Davis, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6913 N Main St, Granger, IN 46530
Phone: 574-647-2970    Fax: 574-647-2971
Nancy Anne Pudlo, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6913 N Main St Ste 200, Granger, IN 46530
Phone: 574-647-4540    Fax: 574-647-2971
Dr. Michael James Hudson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6913 N Main St, Granger, IN 46530
Phone: 574-647-1500    Fax: 574-243-4343
Melissa Anne Hickey, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 52500 Fir Rd, Granger, IN 46530
Phone: 574-271-0700    Fax: 574-273-5648

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.