Jason Alan Johnson, MD is a medicare enrolled "Family Medicine" physician in Woods Cross, Utah. His current practice location is
1566 S Mountain View Blvd, Woods Cross, Utah. You can reach out to his office (for appointments etc.) via phone at
(775) 505-7111.
Jason Alan Johnson is licensed to practice in Utah (license number 11431575-1205) 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 1619235736.
Physician's Profile
Full Name | Jason Alan Johnson |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1566 S Mountain View Blvd, Woods Cross, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619235736
- Provider Enumeration Date: 04/26/2012
- Last Update Date: 09/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163741299
- Enrollment ID: I20150512000828
Medical Identifiers
Medical identifiers for Jason Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619235736 | NPI | - | NPPES |
11431575-1205 | Other | UT | UT LICENSE |
15746 | Other | NV | MD LICENSE NUMBER |
12790436 | Other | NV | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 15746 (Nevada) | Secondary |
207Q00000X | Family Medicine | 11431575-1205 (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. Jason Alan Johnson allows following entities to bill medicare on his behalf.
Entity Name | Southwest Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
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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. Jason Alan 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 |
Jason Alan Johnson, MD 1566 S Mountain View Blvd, Woods Cross, UT 84087-2484 Ph: (775) 505-7111 | Jason Alan Johnson, MD 1566 S Mountain View Blvd, Woods Cross, UT 84087-2484 Ph: (775) 505-7111 |
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