Jon Willardson, in American Fork, UT - Medicare Emergency Medicine

Jon Willardson, is a medicare enrolled "Emergency Medicine" physician in American Fork, Utah. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Valley Emergency Physicians Lc and his current practice location is 170 N 1100 E, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 855-4650.

Jon Willardson is licensed to practice in Utah (license number 9463450-1204) 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 1780819771.

Contact Information

	Jon Willardson,
	170 N 1100 E, American Fork, UT 84003-2096
	(801) 855-4650
	Not Available

Map and Direction

Physician's Profile

Full Name	Jon Willardson
Gender	Male
Speciality	Emergency Medicine
Experience	15 Years
Location	170 N 1100 E, American Fork, 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:

Jon Willardson graduated from medical school in 2009

NPI Data:

NPI Number: 1780819771
Provider Enumeration Date: 05/20/2009
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9436396850
Enrollment ID: I20151120002679

Medical Identifiers

Medical identifiers for Jon Willardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780819771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OT012855 (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	070013 (Georgia)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	070013 (Georgia)	Secondary
207P00000X	Emergency Medicine	9463450-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
American Fork Hospital	American fork, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Valley Emergency Physicians Lc	4789630401	16

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. Jon Willardson allows following entities to bill medicare on his behalf.

Entity Name	North Valley Emergency Physicians Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134177876 PECOS PAC ID: 4789630401 Enrollment ID: O20050325000297

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. Jon Willardson 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
Jon Willardson, 170 N 1100 E, American Fork, UT 84003-2096 Ph: (801) 855-4650	Jon Willardson, 170 N 1100 E, American Fork, UT 84003-2096 Ph: (801) 855-4650

Reviews and Comments

Emergency Medicine Doctors in American Fork, UT

Todd Jeffrey Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 480-213-7512
Dr. Craig Bruce Cowan Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4600
Dr. Nathan G Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4650
Mr. Michael S Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570
Dr. Dean W Shelton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570
Mrs. Brenda M Crawford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570
Barry Gardenhire, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4506

Jon Willardson, - Medicare Emergency Medicine in American Fork, UT