Kaysville Clinic, Llc - Medicare Primary Care in Layton, UT

Kaysville Clinic, Llc is a medicare enrolled primary clinic (Family Medicine) in Layton, Utah. The current practice location for Kaysville Clinic, Llc is 934 S Main, Layton, Utah. For appointments, you can reach them via phone at (801) 544-4227. The mailing address for Kaysville Clinic, Llc is 934 S Main, Layton, Utah and phone number is (801) 544-4227.

Kaysville Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013047521. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 544-4227.

Contact Information

Kaysville Clinic, Llc
934 S Main
Layton
UT 84041-4250
(801) 544-4227
(801) 544-3724

Primary Care Clinic Profile

Full NameKaysville Clinic, Llc
SpecialityFamily Medicine
Location934 S Main, Layton, Utah
Authorized Official Name and PositionLayne K Kamalu (OWNER)
Authorized Official Contact8015444227
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaysville Clinic, Llc
934 S Main
Layton
UT 84041-4250

Ph: (801) 544-4227
Kaysville Clinic, Llc
934 S Main
Layton
UT 84041-4250

Ph: (801) 544-4227

NPI Details:

NPI Number1013047521
Provider Enumeration Date03/06/2007
Last Update Date10/26/2007

Medicare PECOS Information:

Medicare PECOS PAC ID2264331636
Medicare Enrollment IDO20040105000589

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Medical Identifiers

Medical identifiers for Kaysville Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013047521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kaysville Clinic, Llc acts as a billing entity for following providers:
Provider NameLayne Keliiokalam Kamalu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104987916
PECOS PAC ID: 9335048701
Enrollment ID: I20051116000272

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Provider NameCara Mellor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932396280
PECOS PAC ID: 7810077948
Enrollment ID: I20080102000397

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