Dr Caryn Kendra Slack, MD is a medicare enrolled "Family Medicine" physician in Bridgeport, California. She went to University Of Minnesota Medical School and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Toiyabe Indian Health Project Inc, Southern California Permanente Medical Group and her current practice location is
199 Twin Lakes Rd, Bridgeport, California. You can reach out to her office (for appointments etc.) via phone at
(530) 495-2100.
Dr Caryn Kendra Slack is licensed to practice in California (license number C152597) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689619124.
Physician's Profile
| Full Name | Dr Caryn Kendra Slack |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 25 Years |
|---|
| Location | 199 Twin Lakes Rd, Bridgeport, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Caryn Kendra Slack attended and graduated from University Of Minnesota Medical School in 2000
NPI Data:
- NPI Number: 1689619124
- Provider Enumeration Date: 06/18/2006
- Last Update Date: 11/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688645401
- Enrollment ID: I20180216002309
Medical Identifiers
Medical identifiers for Dr Caryn Kendra Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689619124 | NPI | - | NPPES |
| THP11576F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C152597 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Toiyabe Indian Health Project Inc | 2668419813 | 14 |
| Southern California Permanente Medical Group | 6002729175 | 9038 |
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 Caryn Kendra Slack allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
|---|
| Entity Name | Molina Healthcare Of California |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348 |
|---|
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 Caryn Kendra Slack 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 |
|---|
Dr Caryn Kendra Slack, MD
250 N See Vee Ln,
Bishop, CA 93514-8130
Ph: (760) 873-8464 | Dr Caryn Kendra Slack, MD
199 Twin Lakes Rd,
Bridgeport, CA 93517-8050
Ph: (530) 495-2100 |
Reviews and Comments