Dr Clark Woodrow Johnson, MD in Salt Lake City, UT

Dr Clark Woodrow Johnson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice University Of Utah Behavioral Health Services and his current practice location is 1208 E 3300 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 290-5320.

Dr Clark Woodrow Johnson is licensed to practice in Utah (license number 7821510-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487706099.

Contact Information

	Dr Clark Woodrow Johnson, MD
	1208 E 3300 S, Salt Lake City, UT 84106-2522
	(801) 290-5320
	(801) 290-5321

Map and Direction

Physician's Profile

Full Name	Dr Clark Woodrow Johnson
Gender	Male
Speciality	Psychiatry
Experience	19 Years
Location	1208 E 3300 S, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clark Woodrow Johnson attended and graduated from University Of Utah School Of Medicine in 2005

NPI Data:

NPI Number: 1487706099
Provider Enumeration Date: 01/17/2007
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8729166285
Enrollment ID: I20110314000988

Medical Identifiers

Medical identifiers for Dr Clark Woodrow Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487706099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD 60082250 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD 29092 (Oregon)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	7821510-1205 (Utah)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	241524 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Behavioral Health Services	9537483607	152

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. Dr Clark Woodrow Johnson allows following entities to bill medicare on his behalf.

Entity Name	Physician Group Of Utah Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	Mmg Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295392645 PECOS PAC ID: 5991039489 Enrollment ID: O20190703001917

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995

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. Dr Clark Woodrow 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
Dr Clark Woodrow Johnson, MD 1208 E 3300 S, Salt Lake City, UT 84106-2522 Ph: (801) 290-5320	Dr Clark Woodrow Johnson, MD 1208 E 3300 S, Salt Lake City, UT 84106-2522 Ph: (801) 290-5320

Reviews and Comments

Psychiatry & Neurology Doctors in Salt Lake City, UT

Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890
Muharrem B. Baytunca, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4096
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Christopher R. Sweeney, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-7951 Fax: 801-581-5604
Norman L. Foster, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121

Dr Clark Woodrow Johnson, MD - Medicare Psychiatry in Salt Lake City, UT