Mark Dale Johnson, MD - Medicare Family Practice in Salt Lake City, UT

Mark Dale Johnson, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Jordan Ridge Family Medicine Llc and his current practice location is 6321 S Redwood Rd, Suite 201, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 265-2212.

Mark Dale Johnson is licensed to practice in Utah (license number 182573-1205) 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 1184668659.

Contact Information

Mark Dale Johnson, MD
6321 S Redwood Rd, Suite 201,
Salt Lake City, UT 84123-6798
(801) 265-2212
(801) 265-0103

Map and Direction




Physician's Profile

Full NameMark Dale Johnson
GenderMale
SpecialityFamily Practice
Experience35 Years
Location6321 S Redwood Rd, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Dale Johnson attended and graduated from University Of Utah School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1184668659
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 06/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406872803
  • Enrollment ID: I20051014000515

Medical Identifiers

Medical identifiers for Mark Dale Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184668659NPI-NPPES
529190498001MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 182573-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Caregiver Support Network HospiceKaysville, UTHospice
South Davis HospiceBountiful, UTHospice
Intermountain Medical CenterMurray, UTHospital
St Mark's HospitalSalt lake city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jordan Ridge Family Medicine Llc882009147314

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. Mark Dale Johnson allows following entities to bill medicare on his behalf.
Entity NameJordan Ridge Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770509754
PECOS PAC ID: 8820091473
Enrollment ID: O20060821000255

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. Mark Dale 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 AddressPractice Location Address
Mark Dale Johnson, MD
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (801) 265-2212
Mark Dale Johnson, MD
6321 S Redwood Rd, Suite 201,
Salt Lake City, UT 84123-6798

Ph: (801) 265-2212

Reviews and Comments


Family Medicine Doctors in Salt Lake City, UT

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Ms. Shannon B. Mckim, DO
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.