Jeffrey G Clark, MD - Medicare Psychiatry in Kaysville, UT

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Jeffrey G Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kaysville, Utah. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2015 and has 11 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice University Of Utah Behavioral Health Services and his current practice location is 119 S Brady Ln, Kaysville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 368-6622.

Jeffrey G Clark is licensed to practice in Utah (license number 10564219-1205) 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 1487041273.

Contact Information

Jeffrey G Clark, MD
119 S Brady Ln,
Kaysville, UT 84037-9428
(801) 368-6622
Not Available

Map and Direction




Physician's Profile

Full NameJeffrey G Clark
GenderMale
SpecialityPsychiatry
Experience11 Years
Location119 S Brady Ln, Kaysville, 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:
  • Jeffrey G Clark attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2015
  NPI Data:
  • NPI Number: 1487041273
  • Provider Enumeration Date: 04/20/2015
  • Last Update Date: 05/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0446561518
  • Enrollment ID: I20190611001011

Medical Identifiers

Medical identifiers for Jeffrey G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487041273NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 10564219-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Behavioral Health Services9537483607190

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. Jeffrey G Clark allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303
Entity NameUniversity Of Utah Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740688613
PECOS PAC ID: 9537483607
Enrollment ID: O20150120001118

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. Jeffrey G Clark 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
Jeffrey G Clark, MD
119 S Brady Ln,
Kaysville, UT 84037-9428

Ph: () -		Jeffrey G Clark, MD
119 S Brady Ln,
Kaysville, UT 84037-9428

Ph: (801) 368-6622

Reviews and Comments


Psychiatry & Neurology Doctors in Kaysville, UT

Dr. Nancy Meiyun-chiu Bivens, M.D., PH.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 435 N Main St, Kaysville, UT 84037
Phone: 801-498-6000    Fax: 801-498-6085

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.