Autumn Axline, PA - Medicare Physician Assistant in South Bend, IN

Autumn Axline, PA is a medicare enrolled "Physician Assistant" in South Bend, Indiana. Her current practice location is 211 N Eddy St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 234-8161.

Autumn Axline is licensed to practice in * (Not Available) (license number ) 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 1003677964.

Contact Information

Autumn Axline, PA
211 N Eddy St,
South Bend, IN 46617-2808
(574) 234-8161
Not Available

Map and Direction




Provider's Profile

Full NameAutumn Axline
GenderFemale
SpecialityPhysician Assistant
Location211 N Eddy St, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003677964
  • Provider Enumeration Date: 01/18/2024
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981045291
  • Enrollment ID: I20240516002469

Medical Identifiers

Medical identifiers for Autumn Axline such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003677964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

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. Autumn Axline 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
Autumn Axline, PA
26621 Hamilton St,
Edwardsburg, MI 49112-9691

Ph: (574) 855-9892
Autumn Axline, PA
211 N Eddy St,
South Bend, IN 46617-2808

Ph: (574) 234-8161

Reviews and Comments


Physician Assistant Nurses in South Bend, IN

Sean Robert Horner, PAC
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Medicare: Medicare Enrolled
Practice Location: 2102 E Inwood Rd, South Bend, IN 46614
Phone: 574-299-2411    Fax: 574-299-2410
Gabriela L Taylor, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9294    
Ms. Cami Jo Kistenfeger, MPAS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 53880 Carmichael Dr, South Bend, IN 46635
Phone: 574-247-9441    Fax: 745-247-9442
Priya Kaur,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1245 E Ireland Rd, South Bend, IN 46614
Phone: 574-312-7022    
Carolyn M Barbus, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 53880 Carmichael Dr, South Bend, IN 46635
Phone: 574-247-9441    Fax: 574-247-9442
Ms. Megan Kathleen Maloney, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St., South Bend, IN 46617
Phone: 574-237-9294    Fax: 574-237-9259

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.