Dr Caryn Kendra Slack, MD in West Valley City, UT

Dr Caryn Kendra Slack, MD is a medicare enrolled "Family Medicine" physician in West Valley City, Utah. Her current practice location is 4535 S 5600 W, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 676-4405.

Dr Caryn Kendra Slack is licensed to practice in Utah (license number 5597655-1205) 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 1689619124.

Contact Information

	Dr Caryn Kendra Slack, MD
	4535 S 5600 W, West Valley City, UT 84120-4639
	(801) 676-4405
	(877) 497-4661

Map and Direction

Physician's Profile

Full Name	Dr Caryn Kendra Slack
Gender	Female
Speciality	Family Medicine
Location	4535 S 5600 W, West Valley City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689619124
Provider Enumeration Date: 06/18/2006
Last Update Date: 11/18/2021

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
1164672770	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5597655-1205 (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 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 4535 S 5600 W, West Valley City, UT 84120-4639 Ph: (801) 676-4405	Dr Caryn Kendra Slack, MD 4535 S 5600 W, West Valley City, UT 84120-4639 Ph: (801) 676-4405

Reviews and Comments

Family Medicine Doctors in West Valley City, UT

Dr. Casey Joseph Henich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600
Ray Morris Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3465 So 4155 W Suite #2, West Valley City, UT 84120 Phone: 801-963-7636 Fax: 801-963-8130
Jennifer J Denbleyker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526
Erin Bathurst Helms, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84120 Phone: 801-902-8080
Dr. Charles Wesley Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4052 West Pioneer Parkway, Suite 109, West Valley City, UT 84120 Phone: 801-912-8230 Fax: 801-840-2208
Dr. Lori E Witter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200
Curtis Gapinski, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600

Dr Caryn Kendra Slack, MD - Medicare Family Medicine in West Valley City, UT