Mr Randy Ray Johnson, in South Jordan, UT - Medicare Marriage & Family Therapist Provider

Mr Randy Ray Johnson, is a medicare enrolled "Marriage & Family Therapist" provider in South Jordan, Utah. His current practice location is 1226 W South Jordan Pkwy, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 302-1155.

Mr Randy Ray Johnson is licensed to practice in Utah (license number 117085-3902) 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 1114043072.

Contact Information

	Mr Randy Ray Johnson,
	1226 W South Jordan Pkwy, South Jordan, UT 84095
	(801) 302-1155
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randy Ray Johnson
Gender	Male
Speciality	Marriage & Family Therapist
Location	1226 W South Jordan Pkwy, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114043072
Provider Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678924883
Enrollment ID: I20240111002223

Medical Identifiers

Medical identifiers for Mr Randy Ray Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114043072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	117085-3902 (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. Mr Randy Ray Johnson allows following entities to bill medicare on his behalf.

Entity Name	Deborah A Christensen Phd & Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891955936 PECOS PAC ID: 6901891498 Enrollment ID: O20040415000323

Entity Name	Behavioral Health Solutions Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568226579 PECOS PAC ID: 9739625740 Enrollment ID: O20240726001014

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. Mr Randy Ray 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
Mr Randy Ray Johnson, 8636 S 1700 E, Sandy, UT 84093-1412 Ph: (801) 879-5579	Mr Randy Ray Johnson, 1226 W South Jordan Pkwy, South Jordan, UT 84095 Ph: (801) 302-1155

Reviews and Comments

Marriage & Family Therapist in South Jordan, UT

Amanda Clavell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6022 W Whistle Stop Rd, South Jordan, UT 84009 Phone: 916-430-2981
Jill Hodge, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 S Redwood Rd, South Jordan, UT 84095 Phone: 801-484-9911
Dr. Jacob Gibson, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11607 Lampton View Dr, South Jordan, UT 84095 Phone: 801-301-2450
Luz Patricia Mariscal Ortiz, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1218 W South Jordan Pkwy Ste A2, South Jordan, UT 84095 Phone: 385-645-8889
April Lynne' Bennett, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2732 W. Lizzi Cove, South Jordan, UT 84095 Phone: 801-769-6637
Dr. Richard Lawrence Frank, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10532 S Ojibwa Ln, South Jordan, UT 84095 Phone: 801-425-8889

Mr Randy Ray Johnson, - Medicare Couples Therapy in South Jordan, UT