Michele Marie Swanhart, CRNP - Medicare Nurse Practitioner in Johnstown, PA

Michele Marie Swanhart, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Johnstown, Pennsylvania. Her current practice location is 817 Franklin St, Johnstown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 539-7507.

Michele Marie Swanhart is licensed to practice in Pennsylvania (license number SP005742B) 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 1013077999.

Contact Information

Michele Marie Swanhart, CRNP
817 Franklin St,
Johnstown, PA 15901-2800
(814) 539-7507
(814) 535-5547

Map and Direction




Provider's Profile

Full NameMichele Marie Swanhart
GenderFemale
SpecialityNurse Practitioner - Family
Location817 Franklin St, Johnstown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013077999
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4183779853
  • Enrollment ID: I20090901000439

Medical Identifiers

Medical identifiers for Michele Marie Swanhart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013077999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP005742B (Pennsylvania)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. Michele Marie Swanhart allows following entities to bill medicare on her behalf.
Entity NameCarelon Medical Partners, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124443403
PECOS PAC ID: 9931332111
Enrollment ID: O20150424000053

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. Michele Marie Swanhart 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
Michele Marie Swanhart, CRNP
131 Thomas St,
Mineral Point, PA 15942-5925

Ph: (814) 322-3208
Michele Marie Swanhart, CRNP
817 Franklin St,
Johnstown, PA 15901-2800

Ph: (814) 539-7507

Reviews and Comments


Nurse Practitioner Nurses in Johnstown, PA

Pamela Geary, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1015 Franklin St, Wessel Building Level D, Johnstown, PA 15905
Phone: 814-534-5042    Fax: 814-534-5045
Patrice Janice Wilson, FNP, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1086 Franklin St Fl 7, Johnstown, PA 15905
Phone: 678-593-9020    
Lisa Devineni, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 315 Locust St, 2nd Floor, Johnstown, PA 15901
Phone: 814-534-6750    Fax: 814-534-6760
Mrs. Kimberly R. Wisniewski, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321 Main St, Suite 5 G, Johnstown, PA 15901
Phone: 814-535-7721    Fax: 814-535-2105
Brittany Louise Walker, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904
Phone: 814-269-5211    
Lori Beth Claycomb, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Eisenhower Blvd, Johnstown, PA 15904
Phone: 814-615-2014    

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.