Dr Kristina Irene Suorsa-johnson, PHD - Medicare Psychologist in Salt Lake City, UT

Dr Kristina Irene Suorsa-johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. Her current practice location is 81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-1000.

Dr Kristina Irene Suorsa-johnson is licensed to practice in Utah (license number 12196719-2501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205509429.

Contact Information

Dr Kristina Irene Suorsa-johnson, PHD
81 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1125
(801) 662-1000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristina Irene Suorsa-johnson
GenderFemale
SpecialityPsychologist - Clinical
Location81 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205509429
  • Provider Enumeration Date: 07/26/2021
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264821396
  • Enrollment ID: I20211111001383

Medical Identifiers

Medical identifiers for Dr Kristina Irene Suorsa-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205509429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 12196719-2501 (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. Dr Kristina Irene Suorsa-johnson allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameUniversity Of Utah Pediatric Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649631599
PECOS PAC ID: 3870886898
Enrollment ID: O20160727002309

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. Dr Kristina Irene Suorsa-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 AddressPractice Location Address
Dr Kristina Irene Suorsa-johnson, PHD
815 E Rowley Dr,
Millcreek, UT 84107-3028

Ph: (401) 864-5906
Dr Kristina Irene Suorsa-johnson, PHD
81 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1125

Ph: (801) 662-1000

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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