Kevin B Johnson, MD - Medicare Internal Medicine in West Jordan, UT

Kevin B Johnson, MD is a medicare enrolled "Internal Medicine" physician in West Jordan, Utah. He went to University Of Utah School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 3570 W 9000 S Ste 100, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 903-5620.

Kevin B Johnson is licensed to practice in Utah (license number 176259-1205) 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 1255456497.

Contact Information

Kevin B Johnson, MD
3570 W 9000 S Ste 100,
West Jordan, UT 84088
(801) 903-5620
(385) 351-6718



Physician's Profile

Full NameKevin B Johnson
GenderMale
SpecialityInternal Medicine
Experience46 Years
Location3570 W 9000 S Ste 100, West Jordan, 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:
  • Kevin B Johnson attended and graduated from University Of Utah School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1255456497
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 04/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193636835
  • Enrollment ID: I20050810000127

Medical Identifiers

Medical identifiers for Kevin B Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255456497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 176259-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jordan Valley Medical CenterWest jordan, UTHospital
Intermountain Medical CenterMurray, UTHospital
Riverton HospitalRiverton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Health Initiatives Colorado8022927342998

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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. Kevin B Johnson allows following entities to bill medicare on his behalf.
Entity NamePhysician Group Of Utah Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477676930
PECOS PAC ID: 8022032234
Enrollment ID: O20060113000886

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Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942903562
PECOS PAC ID: 8022927342
Enrollment ID: O20230615001995

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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. Kevin B 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
Kevin B Johnson, MD
Po Box 800022,
Kansas City, MO 64180-0022

Ph: () -
Kevin B Johnson, MD
3570 W 9000 S Ste 100,
West Jordan, UT 84088

Ph: (801) 903-5620

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Internal Medicine Doctors in West Jordan, UT

Wesley Deans,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3590 W 9000 S Ste 240, West Jordan, UT 84088
Phone: 801-964-3000    
Justin A Call, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3592 W 9000 S, Ste 200, West Jordan, UT 84088
Phone: 801-562-8732    Fax: 801-267-5633
Dr. David Samuel Massinople, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3570 W 9000 S Ste 110, West Jordan, UT 84088
Phone: 801-263-2370    
David R Zackrison, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3590 W 9000 S Ste 240, West Jordan, UT 84088
Phone: 801-569-2384    
Kenneth W Goldberg, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3590 W 9000 S Ste 240, West Jordan, UT 84088
Phone: 801-569-2384    Fax: 801-569-8643
Dr. Kenneth N Buchi, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3584 W 9000 S Ste 300, West Jordan, UT 84088
Phone: 801-233-8233    Fax: 801-565-3663

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