Brandon Jay Johnson, LCSW in Holladay, UT - Medicare Social Worker Provider

Brandon Jay Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Holladay, Utah. His current practice location is 2180 E 4500 S, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 416-0862.

Brandon Jay Johnson is licensed to practice in Utah (license number 8603913-3501) 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 1497419501.

Contact Information

	Brandon Jay Johnson, LCSW
	2180 E 4500 S, Holladay, UT 84117-4434
	(801) 416-0862
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Jay Johnson
Gender	Male
Speciality	Social Worker - Clinical
Location	2180 E 4500 S, Holladay, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497419501
Provider Enumeration Date: 10/25/2021
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0648619429
Enrollment ID: I20240412001019

Medical Identifiers

Medical identifiers for Brandon Jay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497419501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8603913-3501 (Utah)	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. Brandon Jay Johnson allows following entities to bill medicare on his behalf.

Entity Name	Mulligan Counseling Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013601244 PECOS PAC ID: 9739528514 Enrollment ID: O20240412000899

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. Brandon Jay Johnson 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
Brandon Jay Johnson, LCSW 11411 S Holly Springs Dr, South Jordan, UT 84009-1278 Ph: (801) 471-4585	Brandon Jay Johnson, LCSW 2180 E 4500 S, Holladay, UT 84117-4434 Ph: (801) 416-0862

Reviews and Comments

Social Worker in Holladay, UT

Amy Rose White, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 South 2180 East, Suite 165, Holladay, UT 84117 Phone: 801-461-9060
Camile Nielson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4790 S Holladay Blvd, Holladay, UT 84117 Phone: 801-509-9511
Heidi Kinnersley Chee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Holladay, UT 84117 Phone: 801-256-1590 Fax: 801-272-5094
Ms. Suzanne Marie Fields, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Suite 222, Holladay, UT 84117 Phone: 801-808-0244 Fax: 801-278-0489
Jennifer Stewart Clark, MSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566
Jacob Kenison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566
Jane A Weiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4505 Wasatch Blvd, Suite 380, Holladay, UT 84124 Phone: 801-273-7514 Fax: 801-273-7514

Brandon Jay Johnson, LCSW - Medicare Clinical Social Worker in Holladay, UT