| Te Layne Md Inc | |
|
270 Cohasset Rd Suite 120 Chico CA 95926-2262 | |
| (530) 893-4200 | |
| (530) 893-4222 |
| Full Name | Te Layne Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 270 Cohasset Rd, Chico, California |
| Authorized Official Name and Position | Tanya E Layne (MD/PRESIDENT) |
| Authorized Official Contact | 5308934200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Te Layne Md Inc 270 Cohasset Rd Suite 120 Chico CA 95926-2262 Ph: (530) 893-4200 | Te Layne Md Inc 270 Cohasset Rd Suite 120 Chico CA 95926-2262 Ph: (530) 893-4200 |
| NPI Number | 1538488853 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 6305977869 |
|---|---|
| Medicare Enrollment ID | O20100626000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538488853 | NPI | - | NPPES |
| DQ8575 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G80430 (California) | Primary |
| Provider Name | Tanya E Layne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396740429 PECOS PAC ID: 9739123225 Enrollment ID: I20050615000658 |
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