Dr Helene M Johnson, MD - Medicare General Practice in Niles, MI

Dr Helene M Johnson, MD is a medicare enrolled "General Practice" physician in Niles, Michigan. She went to University Of California, San Francisco School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Lakeland Medical Practices and her current practice location is 42 N Saint Joseph Ave, Suite 200, Niles, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 687-0808.

Dr Helene M Johnson is licensed to practice in Michigan (license number 4301030791) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215966528.

Contact Information

Dr Helene M Johnson, MD
42 N Saint Joseph Ave, Suite 200,
Niles, MI 49120-2203
(269) 687-0808
(269) 687-0811

Map and Direction




Physician's Profile

Full NameDr Helene M Johnson
GenderFemale
SpecialityGeneral Practice
Experience53 Years
Location42 N Saint Joseph Ave, Niles, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Helene M Johnson attended and graduated from University Of California, San Francisco School Of Medicine in 1971
  NPI Data:
  • NPI Number: 1215966528
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406769785
  • Enrollment ID: I20031204000425

Medical Identifiers

Medical identifiers for Dr Helene M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215966528NPI-NPPES
01-31142OtherMIPHP
1013408OtherMICIGNA
0101151112OtherMIBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4301030791 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland Hospital, St JosephSt joseph, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Medical Practices1658427042260

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 Helene M Johnson allows following entities to bill medicare on her behalf.
Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Helene M 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 Helene M Johnson, MD
6416 Deans Hill Rd,
Berrien Center, MI 49102-9750

Ph: (269) 471-7741
Dr Helene M Johnson, MD
42 N Saint Joseph Ave, Suite 200,
Niles, MI 49120-2203

Ph: (269) 687-0808

Reviews and Comments


General Practice Doctors in Niles, MI

Brandon Smeltzer, DO
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 45 Longmeadow Ln, Niles, MI 49120
Phone: 734-845-8216    
Ronald L Kissel, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120
Phone: 269-479-3030    Fax: 269-479-3032
Norbert Schwer, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120
Phone: 269-479-3030    Fax: 269-479-3032

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.