Melanie K Johannessohn
Pediatrics | Female
Melanie K Johannessohn is a Indianapolis, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Melanie K Johannessohn is
1001 W 10th St, Indianapolis, Indiana - 46202-2859. She can be contacted on phone at
317-630-7979 and fax number 317-630-2668.
Melanie K Johannessohn is a sole proprietor of her business.
NPI number (Unique professional ID) for Melanie K Johannessohn is
1669430658 which was assigned by NPPES on 02 May, 2006 and it was last updated on 28 Dec, 2021.
Melanie K Johannessohn license number is
01045603A for Pediatrics (208000000X) in Indiana.
Melanie K Johannessohn is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Melanie K Johannessohn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Melanie K Johannessohn |
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| Gender : | Female |
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Business Address:
Melanie K Johannessohn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1001 W 10th St
Indianapolis, IN, 46202-2859
United States |
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| Phone Number : | 317-630-7979 |
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| Fax Number : | 317-630-2668 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669430658 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 May, 2006 |
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| Last Updated On : | 28 Dec, 2021 |
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Medicare Participation:
Melanie K Johannessohn participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3375560378 |
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| Medicare Enrollment ID : | I20051028000709 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Indiana University School Of Medicine |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. Melanie K Johannessohn accepts medicare insurance. |
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Group Practice Association:
Melanie K Johannessohn is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Melanie K Johannessohn is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Eskenazi Medical Group Inc | 4284546813 | 123 | 720 Eskenazi Ave
Indianapolis, IN - 462025187
Ph: 3178807666 | Yes |
| Eskenazi Medical Group Inc | 4284546813 | 123 | 720 Eskenazi Ave Fl
5 Ob/gyn Clinic
Indianapolis, IN - 462025189
Ph: 3178806000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melanie K Johannessohn are as mentioned. Primary taxonomy code for Melanie K Johannessohn is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | 01045603A | IA |
| 208000000X | Pediatrics | Yes | 01045603A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Melanie K Johannessohn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200002280 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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720 ESKENAZI AVE,
INDIANAPOLIS, IN, 46202-5187
United States | INDIANAPOLIS, IN | 317-880-7666 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | mjohannessohn13373@direct.eskenazihealth.edu
| No affiliation |
|
| 720 ESKENAZI AVE,
INDIANAPOLIS, IN, 46202-5187
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8910 Purdue Rd, Ste.500
Indianapolis, IN, 46268-3161
United States |
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Business Location:
Patients can refer following map for directions to
Melanie K Johannessohn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.