Dr Kristen Johannessen, DO - Medicare Emergency Medicine in Trenton, MI

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Dr Kristen Johannessen, DO is a medicare enrolled "Emergency Medicine" physician in Trenton, Michigan. Her current practice location is 5450 Fort St, Trenton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 671-3297.

Dr Kristen Johannessen is licensed to practice in Michigan (license number 5101023617) 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 1619369410.

Contact Information

Dr Kristen Johannessen, DO
5450 Fort St,
Trenton, MI 48183-4601
(734) 671-3297
Not Available

Map and Direction




Physician's Profile

Full NameDr Kristen Johannessen
GenderFemale
SpecialityEmergency Medicine
Location5450 Fort St, Trenton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619369410
  • Provider Enumeration Date: 03/03/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416217203
  • Enrollment ID: I20190830000068

Medical Identifiers

Medical identifiers for Dr Kristen Johannessen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619369410NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101023617 (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 Kristen Johannessen allows following entities to bill medicare on her behalf.
Entity NameMeadowbrook Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184843898
PECOS PAC ID: 9436245040
Enrollment ID: O20071012000163
Entity NameSomerset Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124461702
PECOS PAC ID: 8628203254
Enrollment ID: O20131106001221

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 Kristen Johannessen 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 Kristen Johannessen, DO
400 Gettysburg Rd Unit 103,
Canton, MI 48187-6713

Ph: (707) 315-0987		Dr Kristen Johannessen, DO
5450 Fort St,
Trenton, MI 48183-4601

Ph: (734) 671-3297

Reviews and Comments


Emergency Medicine Doctors in Trenton, MI

Dr. Nicholas Hall, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1896 Heatherhill St, Trenton, MI 48183
Phone: 734-778-9820    
Dr. Charles Incognito Carino, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 816-304-1573    
Dr. David Malicke, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5450 Fort St, Emergency Medicine Department, Trenton, MI 48183
Phone: 734-671-3883    Fax: 734-671-3546
Paul Kennedy Perry, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3800    
Esli Gollapalli, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Oakwood Southshore Medical Center, 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3800    
Dr. Jonathan Blair Leischner, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3297    
Dr. Matthew James Thomas, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3297    

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.