Jonathan Robert Genzen, MD, PHD in Salt Lake City, UT

Jonathan Robert Genzen, MD, PHD is a medicare enrolled "Pathology - Clinical Pathology" physician in Salt Lake City, Utah. His current practice location is 500 Chipeta Way, Mail Code: 115, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 583-2787.

Jonathan Robert Genzen is licensed to practice in Utah (license number 8483431-1205) 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 1922233758.

Contact Information

	Jonathan Robert Genzen, MD, PHD
	500 Chipeta Way, Mail Code: 115, Salt Lake City, UT 84108
	(801) 583-2787
	(801) 584-5207

Map and Direction

Physician's Profile

Full Name	Jonathan Robert Genzen
Gender	Male
Speciality	Pathology - Clinical Pathology
Location	500 Chipeta Way, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922233758
Provider Enumeration Date: 05/22/2009
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7719038694
Enrollment ID: I20130411000170

Medical Identifiers

Medical identifiers for Jonathan Robert Genzen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922233758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	253078 (New York)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	8483431-1205 (Utah)	Secondary
207ZP0105X	Pathology - Clinical Pathology/laboratory Medicine	8483431-1205 (Utah)	Secondary
207ZC0006X	Pathology - Clinical Pathology	8483431-1205 (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. Jonathan Robert Genzen allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Jonathan Robert Genzen 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
Jonathan Robert Genzen, MD, PHD 500 Chipeta Way, Mail Code: 115, Salt Lake City, UT 84108 Ph: (801) 583-2787	Jonathan Robert Genzen, MD, PHD 500 Chipeta Way, Mail Code: 115, Salt Lake City, UT 84108 Ph: (801) 583-2787

Reviews and Comments

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Jonathan Robert Genzen, MD, PHD - Medicare Pathology in Salt Lake City, UT