Kyle Cameron Johnson, DPT in Logan, UT - Medicare Physical Therapist Provider

Kyle Cameron Johnson, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Logan, Utah. His current practice location is 2310 N 400 E Ste B, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 774-8557.

Kyle Cameron Johnson is licensed to practice in Utah (license number 13395834-2401) 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 1043995244.

Contact Information

	Kyle Cameron Johnson, DPT
	2310 N 400 E Ste B, Logan, UT 84341-1799
	(435) 774-8557
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Cameron Johnson
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	2310 N 400 E Ste B, 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: 1043995244
Provider Enumeration Date: 06/16/2023
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0648631994
Enrollment ID: I20230802002347

Medical Identifiers

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

Identifier	Type	State	Issuer
1043995244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	13395834-2401 (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. Kyle Cameron Johnson allows following entities to bill medicare on his behalf.

Provider Name	H2 Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700450806 PECOS PAC ID: 5991194672 Enrollment ID: O20211118001531

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. Kyle Cameron 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
Kyle Cameron Johnson, DPT 314 W 3170 S, Nibley, UT 84321-6693 Ph: (435) 760-6095	Kyle Cameron Johnson, DPT 2310 N 400 E Ste B, Logan, UT 84341-1799 Ph: (435) 774-8557

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
Back At Work Of Utah Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 S State Highway 89 Unit 3, Logan, UT 84321 Phone: 435-216-4343
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

Kyle Cameron Johnson, DPT - Medicare Physical Therapist in Logan, UT