Derek Brent Johnson, DO - Medicare Anesthesiology in Murray, UT

Derek Brent Johnson, DO is a medicare enrolled "Anesthesiology" physician in Murray, Utah. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Kauai Medical Clinic and his current practice location is 5121 S Cottonwood Street, Intermountain Medical Center, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-5248.

Derek Brent Johnson is licensed to practice in Utah (license number 359058-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962605857.

Contact Information

Derek Brent Johnson, DO
5121 S Cottonwood Street, Intermountain Medical Center,
Murray, UT 84157-2520
(801) 507-5248
Not Available



Physician's Profile

Full NameDerek Brent Johnson
GenderMale
SpecialityAnesthesiology
Experience18 Years
Location5121 S Cottonwood Street, Murray, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek Brent Johnson graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1962605857
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 01/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6901939552
  • Enrollment ID: I20220311001748

Medical Identifiers

Medical identifiers for Derek Brent Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962605857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 359058-1204 (Utah)Primary
390200000XStudent In An Organized Health Care Education/training Program 2006018684 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wilcox Memorial HospitalLihue, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kauai Medical Clinic5092628479115

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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. Derek Brent Johnson allows following entities to bill medicare on his behalf.
Entity NameKauai Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540

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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. Derek Brent 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
Derek Brent Johnson, DO
3136 Lower Saddleback Rd,
Park City, UT 84098-4829

Ph: (801) 707-7423
Derek Brent Johnson, DO
5121 S Cottonwood Street, Intermountain Medical Center,
Murray, UT 84157-2520

Ph: (801) 507-5248

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Anesthesiology Doctors in Murray, UT

Kendell Ryan Klingler, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107
Phone: 208-390-7555    
Ethan K Fisher, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-733-5618
Jason Hafer, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-455-8221    
Dr. Jayaprakash Moodalagiriappa, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-432-2668
Dr. Michael Marshall Beck, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-507-7000    Fax: 770-701-6675
Mr. Joshua C Peterson, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Murray, UT 84107
Phone: 801-507-7000    Fax: 770-701-6675
Scott Nathan Hurst, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-733-5618

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