Clark Johnson, in Logan, UT - Medicare Physical Therapist Provider

Clark Johnson, is a medicare enrolled "Physical Therapist" provider in Logan, Utah. His current practice location is 258 S Main St Ste 210, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 383-6120.

Clark Johnson is licensed to practice in Utah (license number 8030412-2401) 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 1407124910.

Contact Information

	Clark Johnson,
	258 S Main St Ste 210, Logan, UT 84321-5768
	(435) 383-6120
	(435) 557-8003

Map and Direction

Healthcare Provider's Profile

Full Name	Clark Johnson
Gender	Male
Speciality	Physical Therapist
Location	258 S Main St Ste 210, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407124910
Provider Enumeration Date: 12/12/2011
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9537545157
Enrollment ID: I20221005003383

Medical Identifiers

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

Identifier	Type	State	Issuer
1407124910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9307 (Arizona)	Secondary
225100000X	Physical Therapist	38312 (California)	Secondary
225100000X	Physical Therapist	06226 (Oregon)	Secondary
225100000X	Physical Therapist	19237 (Massachusetts)	Secondary
225100000X	Physical Therapist	8030412-2401 (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. Clark Johnson allows following entities to bill medicare on his behalf.

Provider Name	Rlc Physical Therapy & Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801107495 PECOS PAC ID: 7416073374 Enrollment ID: O20100929000332

Provider Name	Atlas Medical Utah Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568928133 PECOS PAC ID: 4981937034 Enrollment ID: O20190605001965

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. Clark 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
Clark Johnson, 258 S Main St Ste 210, Logan, UT 84321-5768 Ph: (435) 383-6120	Clark Johnson, 258 S Main St Ste 210, Logan, UT 84321-5768 Ph: (435) 383-6120

Reviews and Comments

Physical Therapist in Logan, UT

Shaun P Dahle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Brandon David Greenwood, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Madison Spainhower, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 W 300 N, Logan, UT 84321 Phone: 435-716-8535
Kyle Cameron Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2310 N 400 E Ste B, Logan, UT 84341 Phone: 435-774-8557
Sarah C Sievers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-755-3360
Brent Rawlings, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 140, Logan, UT 84341 Phone: 435-213-3850 Fax: 435-213-9576
Thomas L Rees, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, Logan, UT 84341 Phone: 435-713-9700 Fax: 435-753-8005

Clark Johnson, - Medicare Physical Therapist in Logan, UT