Dr Frederick A Johansen, MD in Stevensville, MI

Dr Frederick A Johansen, MD is a medicare enrolled "Pediatrics" physician in Stevensville, Michigan. His current practice location is 5515 Cleveland Ave, Suite 1, Stevensville, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 429-6604.

Dr Frederick A Johansen is licensed to practice in Michigan (license number 4301038022) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497784706.

Contact Information

	Dr Frederick A Johansen, MD
	5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670
	(269) 429-6604
	(269) 429-1715

Map and Direction

Physician's Profile

Full Name	Dr Frederick A Johansen
Gender	Male
Speciality	Pediatrics
Location	5515 Cleveland Ave, Stevensville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497784706
Provider Enumeration Date: 06/30/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8820193824
Enrollment ID: I20070720000822

Medical Identifiers

Medical identifiers for Dr Frederick A Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497784706	NPI	-	NPPES
1013407	Other	MI	CIGNA
3501103141	Other	MI	BLUE CROSS
370004513	Other	MI	RAILROAD MEDICARE
12-31141	Other	MI	PHP
2893915	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301038022 (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. Dr Frederick A Johansen allows following entities to bill medicare on his 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. Dr Frederick A Johansen 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
Dr Frederick A Johansen, MD 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670 Ph: (269) 429-6604	Dr Frederick A Johansen, MD 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127-9670 Ph: (269) 429-6604

Reviews and Comments

Pediatrics Doctors in Stevensville, MI

Stephanie C Welch, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Heather A Marten, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Georg C Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-9644 Fax: 269-429-4002
Dr. Barton L Comstock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Suite 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715
Dr. Anna Simpson-o'reggio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave Ste 1, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 239-658-3070
Anne Dudley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5515 Cleveland Ave, Stevensville, MI 49127 Phone: 269-429-6604 Fax: 269-429-1715

Dr Frederick A Johansen, MD - Medicare Pediatrics in Stevensville, MI