Mr Glen Eric Johnson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in West Valley City, Utah. He went to University Of Wisconsin School Of Medicine and graduated in 1971 and has 55 years of diverse experience with area of expertise as Psychiatry. His current practice location is
3940 West 4100 South, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 966-3700.
Mr Glen Eric Johnson is licensed to practice in Utah (license number 1547641205) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1326157298.
Physician's Profile
| Full Name | Mr Glen Eric Johnson |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 55 Years |
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| Location | 3940 West 4100 South, West Valley City, Utah |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Glen Eric Johnson attended and graduated from University Of Wisconsin School Of Medicine in 1971
NPI Data:
- NPI Number: 1326157298
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 01/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 7214116698
- Enrollment ID: I20110201000720
Medical Identifiers
Medical identifiers for Mr Glen Eric Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326157298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1547641205 (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. Mr Glen Eric Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Glen E Johnson Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336443373 PECOS PAC ID: 1052590437 Enrollment ID: O20110201000553 |
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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. Mr Glen Eric 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 |
Mr Glen Eric Johnson, MD 555 E 4500 S, C-150, Salt Lake City, UT 84107-4533 Ph: (801) 288-0747 | Mr Glen Eric Johnson, MD 3940 West 4100 South, West Valley City, UT 84120 Ph: (801) 966-3700 |
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