Blake Wilson Johnson, DO in West Jordan, UT

Blake Wilson Johnson, DO is a medicare enrolled "Anesthesiology" physician in West Jordan, Utah. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Kauai Medical Clinic, Nph Anesthesia Of Utah Llc 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 Name	Blake Wilson Johnson
Gender	Male
Speciality	Anesthesiology
Experience	22 Years
Location	3580 W 9000 S, West Jordan, Utah
Accepts Medicare Assignments	Yes. 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: 06/11/2026

Medicare PECOS Information:

PECOS PAC ID: 3173699584
Enrollment ID: I20250610000401

Medical Identifiers

Medical identifiers for Blake Wilson Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760502991	NPI	-	NPPES
1841453362	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	012210 (Arizona)	Secondary
207L00000X	Anesthesiology	6919190-1240 (Utah)	Primary
207L00000X	Anesthesiology	94-06211 TEMPORARY (Kansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jordan Valley Medical Center	West jordan, UT	Hospital
Wilcox Memorial Hospital	Lihue, HI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kauai Medical Clinic	5092628479	154
Nph Anesthesia Of Utah Llc	9537584313	95

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 Name	Kauai Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540

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 Address	Practice 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: Accepting Medicare Assignments 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

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