Jeffrey W Johnson, MD in Provo, UT - Medicare Internal Medicine

Jeffrey W Johnson, MD is a medicare enrolled "Internal Medicine" physician in Provo, Utah. His current practice location is 1055 N 500 W Ste 212, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-2362.

Jeffrey W Johnson is licensed to practice in Utah (license number 1716591205) 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 1285692400.

Contact Information

	Jeffrey W Johnson, MD
	1055 N 500 W Ste 212, Provo, UT 84604-3305
	(801) 374-2362
	(801) 429-8196

Map and Direction

Physician's Profile

Full Name	Jeffrey W Johnson
Gender	Male
Speciality	Internal Medicine
Location	1055 N 500 W Ste 212, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285692400
Provider Enumeration Date: 05/04/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3476509308
Enrollment ID: I20050323001441

Medical Identifiers

Medical identifiers for Jeffrey W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285692400	NPI	-	NPPES
110037853	Other	UT	PALMETTO GBA
04-00467	Other	UT	UNITED HEALTHCARE
2556	Other	UT	DMBA
QM0000000053	Other	UT	ALTIUS
107006671101	Other	UT	IHC HEALTHPLANS
16205	Other	UT	PEHP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	1716591205 (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. Jeffrey W Johnson allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Jeffrey W 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
Jeffrey W Johnson, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Jeffrey W Johnson, MD 1055 N 500 W Ste 212, Provo, UT 84604-3305 Ph: (801) 374-2362

Reviews and Comments

Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290
Daniel N. Bennett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366
Dr. Christopher Ryan Lew, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558
Albert Rivero, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310
Dr. Wenshu Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945
William T. Stephenson Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201
Gregory E Craner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604 Phone: 801-374-1268 Fax: 801-429-8041

Jeffrey W Johnson, MD - Medicare Internal Medicine in Provo, UT