Alexander Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Provo, Utah. His current practice location is
4501 N University Ave, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 932-2529.
Alexander Johnson is licensed to practice in Utah (license number 9406148-3501) 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 1649713637.
Healthcare Provider's Profile
Full Name | Alexander Johnson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4501 N University Ave, Provo, 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: 1649713637
- Provider Enumeration Date: 11/23/2016
- Last Update Date: 11/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395102644
- Enrollment ID: I20230605000972
Medical Identifiers
Medical identifiers for Alexander Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649713637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 9406148-3502 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 9406148-3501 (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. Alexander Johnson allows following entities to bill medicare on his behalf.
Entity Name | Aeworkman Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891419149 PECOS PAC ID: 9931566288 Enrollment ID: O20230601001940 |
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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. Alexander 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 |
Alexander Johnson, 3585 N University Ave Ste 300, Provo, UT 84604-6611 Ph: (801) 797-1111 | Alexander Johnson, 4501 N University Ave, Provo, UT 84604-5504 Ph: (801) 932-2529 |
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