Blake Wilson Johnson, DO - Medicare Anesthesiology in West Jordan, UT

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Blake Wilson Johnson, DO is a medicare enrolled "Anesthesiology" physician in West Jordan, Utah. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Nph Anesthesia Of Utah Llc, Kauai Medical Clinic and his current practice location is 3580 W 9000 S, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 561-8888.

Blake Wilson Johnson is licensed to practice in Utah (license number 6919190-1240) 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 1760502991.

Contact Information

Blake Wilson Johnson, DO
3580 W 9000 S,
West Jordan, UT 84088-8812
(801) 561-8888
(480) 507-2971

Map and Direction




Physician's Profile

Full NameBlake Wilson Johnson
GenderMale
SpecialityAnesthesiology
Experience21 Years
Location3580 W 9000 S, West Jordan, 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:
  • Blake Wilson Johnson graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1760502991
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 06/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3173699584
  • Enrollment ID: I20080909000633

Medical Identifiers

Medical identifiers for Blake Wilson Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760502991NPI-NPPES
1841453362MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 94-06211 TEMPORARY (Kansas)Secondary
207L00000XAnesthesiology 6919190-1240 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jordan Valley Medical CenterWest jordan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nph Anesthesia Of Utah Llc953758431386
Kauai Medical Clinic5092628479131

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. Blake Wilson Johnson allows following entities to bill medicare on his behalf.
Entity NameMillcreek Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306879820
PECOS PAC ID: 0840194643
Enrollment ID: O20031124000147
Entity NameNph Anesthesia Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366077273
PECOS PAC ID: 9537584313
Enrollment ID: O20200811001268
Entity NameSouth Towne Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457061533
PECOS PAC ID: 3870958176
Enrollment ID: O20230419003080

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. Blake Wilson 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
Blake Wilson Johnson, DO
Po Box 1847,
Gilbert, AZ 85299-1847

Ph: (480) 507-2961		Blake Wilson Johnson, DO
3580 W 9000 S,
West Jordan, UT 84088-8812

Ph: (801) 561-8888

Reviews and Comments


Anesthesiology Doctors in West Jordan, UT

Dr. Cardin Harris Bell, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3580 W 9000 S, West Jordan, UT 84088
Phone: 801-561-8888    
Joseph E Morgan, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 3580 W 9000 S, West Jordan, UT 84088
Phone: 801-993-9527    Fax: 801-733-5872
Dr. Ashleigh Angel Byrne, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 9001 S 3200 W, West Jordan, UT 84088
Phone: 801-965-3600    
Dr. Jeffrey Wright, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3580 W 9000 S, West Jordan, UT 84088
Phone: 801-561-8888    
Wade T Smith, DO
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 3580 W 9000 S, West Jordan, UT 84088
Phone: 801-993-9527    
Dr. Geeta Nagpal, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 9001 S 3200 W, West Jordan, UT 84088
Phone: 801-569-5520    
Thomas S Cannon, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3580 W 9000 S, West Jordan, UT 84088
Phone: 801-561-8888    

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.