Dr Jayne Elizabeth Clark, MD is a
Physical Medicine & Rehabilitation physician based in Holladay, Utah. Dr Jayne Elizabeth Clark is licensed to practice in Utah (license number 165700-1205) and her current practice location is 2180 E 4500 S, Suite #185, Holladay, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 272-6972.
NPI number for Dr Jayne Elizabeth Clark is 1295735728 and her current mailing address is 2180 E 4500 S, Suite #185, Holladay, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295735728.
Physician's Profile
Full Name | Dr Jayne Elizabeth Clark |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 2180 E 4500 S, Holladay, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295735728
- Provider Enumeration Date: 07/27/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jayne Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295735728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 165700-1205 (Utah) | Primary |
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 Jayne Elizabeth Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jayne Elizabeth Clark, MD 2180 E 4500 S, Suite #185, Holladay, UT 84117-4434 Ph: (801) 272-6972 | Dr Jayne Elizabeth Clark, MD 2180 E 4500 S, Suite #185, Holladay, UT 84117-4434 Ph: (801) 272-6972 |
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