| Michael Byron Johnson, APRN | |
|
650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | |
| (801) 585-1212 | |
| (801) 585-9096 |
| Full Name | Michael Byron Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 650 Komas Dr, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619003449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2729194405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Behavioral Health Services | 9537483607 | 185 |
| Entity Name | University of Utah Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Byron Johnson, APRN 248 London Rd, Centerville, UT 84014-1927 Ph: (801) 585-1212 | Michael Byron Johnson, APRN 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 Ph: (801) 585-1212 |
Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999 |
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600 |
Ms. Eliza Dansie Parkin, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2218 S Dallin St, Salt Lake City, UT 84109 Phone: 801-673-7088 |
Crystal Marshall, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr, Salt Lake City, UT 84124 Phone: 888-949-4864 |
Emma Fong, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000 |
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766 |
Ms. Sharon A Korhel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 W 1000 N, Salt Lake City, UT 84116 Phone: 801-408-8626 Fax: 801-364-2436 |