Jason Alan Johnson, MD is a medicare enrolled "Family Medicine" physician in Woods Cross, Utah. His current practice location is
2493 S Wildcat Way Unit B, Woods Cross, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 693-3020.
Jason Alan Johnson is licensed to practice in Utah (license number 11431575-1205) 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 1619235736.
Physician's Profile
| Full Name | Jason Alan Johnson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2493 S Wildcat Way Unit B, Woods Cross, 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: 1619235736
- Provider Enumeration Date: 04/26/2012
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163741299
- Enrollment ID: I20150512000828
Medical Identifiers
Medical identifiers for Jason Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619235736 | NPI | - | NPPES |
| 11431575-1205 | Other | UT | UT LICENSE |
| 15746 | Other | NV | MD LICENSE NUMBER |
| 12790436 | Other | NV | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 15746 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 11431575-1205 (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. Jason Alan Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Medical Associates, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
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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. Jason Alan 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 |
Jason Alan Johnson, MD 625 Cayias Dr, North Salt Lake, UT 84054-3161 Ph: (775) 505-7111 | Jason Alan Johnson, MD 2493 S Wildcat Way Unit B, Woods Cross, UT 84010-8292 Ph: (801) 693-3020 |
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