Jared Alan Johnstun, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Midvale, Utah. He went to Drexel University College Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Swedishamerican Hospital and his current practice location is
623 E Fort Union Blvd Ste 105, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 412-1660.
Jared Alan Johnstun is licensed to practice in Illinois (license number 036.160773) 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 1487944096.
Physician's Profile
| Full Name | Jared Alan Johnstun |
|---|
| Gender | Male |
|---|
| Speciality | Pulmonary Disease |
|---|
| Experience | 15 Years |
|---|
| Location | 623 E Fort Union Blvd Ste 105, Midvale, 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:
- Jared Alan Johnstun attended and graduated from Drexel University College Of Medicine in 2010
NPI Data:
- NPI Number: 1487944096
- Provider Enumeration Date: 04/15/2011
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113165655
- Enrollment ID: I20230111000147
Medical Identifiers
Medical identifiers for Jared Alan Johnstun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487944096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 8134352-1205 (Utah) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 8134352-1205 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036.160773 (Illinois) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 036.160773 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Swedishamerican Hospital | 5799698346 | 332 |
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. Jared Alan Johnstun allows following entities to bill medicare on his behalf.
| Entity Name | Swedishamerican Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
|---|
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. Jared Alan Johnstun 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 |
Jared Alan Johnstun, MD 623 E Fort Union Blvd Ste 105, Midvale, UT 84047-5529 Ph: (385) 412-1660 | Jared Alan Johnstun, MD 623 E Fort Union Blvd Ste 105, Midvale, UT 84047-5529 Ph: (385) 412-1660 |
Reviews and Comments