John Walsh, AG-ACNP in South Bend, IN - Medicare Nurse Practitioner

John Walsh, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in South Bend, Indiana. His current practice location is 621 Memorial Dr Ste 502, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-5875.

John Walsh is licensed to practice in Indiana (license number 71008427A) 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 1316427560.

Contact Information

	John Walsh, AG-ACNP
	621 Memorial Dr Ste 502, South Bend, IN 46601-1075
	(574) 647-5875
	(574) 647-5878

Map and Direction

Provider's Profile

Full Name	John Walsh
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	621 Memorial Dr Ste 502, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316427560
Provider Enumeration Date: 08/17/2018
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2062759764
Enrollment ID: I20190201001873

Medical Identifiers

Medical identifiers for John Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316427560	NPI	-	NPPES
300021695	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	71008427A (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. John Walsh allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Entity Name	Cardiovascular Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538106711 PECOS PAC ID: 0143218677 Enrollment ID: O20040504000650

Entity Name	Munster Medical Research Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982653044 PECOS PAC ID: 8123913183 Enrollment ID: O20040623000905

Entity Name	Aims Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376072785 PECOS PAC ID: 6406126572 Enrollment ID: O20170721002478

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. John Walsh 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
John Walsh, AG-ACNP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (547) 647-1840	John Walsh, AG-ACNP 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 Ph: (574) 647-5875

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

John Walsh, AG-ACNP - Medicare Nurse Practitioner in South Bend, IN