Mark Dale Johnson, MD in Salt Lake City, UT

Mark Dale Johnson, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Jordan Ridge Family Medicine Llc and his current practice location is 6321 S Redwood Rd, Suite 201, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 265-2212.

Mark Dale Johnson is licensed to practice in Utah (license number 182573-1205) 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 1184668659.

Contact Information

	Mark Dale Johnson, MD
	6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6798
	(801) 265-2212
	(801) 265-0103

Map and Direction

Physician's Profile

Full Name	Mark Dale Johnson
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	6321 S Redwood Rd, Salt Lake City, 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:

Mark Dale Johnson attended and graduated from University Of Utah School Of Medicine in 1989

NPI Data:

NPI Number: 1184668659
Provider Enumeration Date: 06/15/2006
Last Update Date: 06/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6406872803
Enrollment ID: I20051014000515

Medical Identifiers

Medical identifiers for Mark Dale Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184668659	NPI	-	NPPES
529190498001	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	182573-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caregiver Support Network Hospice	Kaysville, UT	Hospice
South Davis Hospice	Bountiful, UT	Hospice
Intermountain Medical Center	Murray, UT	Hospital
St Mark's Hospital	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jordan Ridge Family Medicine Llc	8820091473	10

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. Mark Dale Johnson allows following entities to bill medicare on his behalf.

Entity Name	Jordan Ridge Family Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770509754 PECOS PAC ID: 8820091473 Enrollment ID: O20060821000255

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. Mark Dale 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
Mark Dale Johnson, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (801) 265-2212	Mark Dale Johnson, MD 6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6798 Ph: (801) 265-2212

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Wesley J. Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1033

Mark Dale Johnson, MD - Medicare Family Practice in Salt Lake City, UT