<unavail> in West Valley City, UT - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in West Valley City, Utah. The current practice location for is 4100 South 1778 West, West Valley City, Utah. For appointments, you can reach them via phone at (801) 964-8726. The mailing address for is 3336 Pioneer Pkwy, #302, West Valley City, Utah and phone number is (801) 964-8726.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326169632. 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) 964-8726.

Contact Information


	4100 South 1778 West West Valley City UT 84119
	(801) 964-8726
	(801) 968-9836

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	4100 South 1778 West, West Valley City, Utah
Authorized Official Name and Position	Jessica Janae Campbell (MANAGER)
Authorized Official Contact	8019648726
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3336 Pioneer Pkwy #302 West Valley City UT 84120-2000 Ph: (801) 964-8726	4100 South 1778 West West Valley City UT 84119 Ph: (801) 964-8726

NPI Details:

NPI Number	1326169632
Provider Enumeration Date	04/03/2007
Last Update Date	04/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0547174229
Medicare Enrollment ID	O20031117000748

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326169632	NPI	-	NPPES
480025031002	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family 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. acts as a billing entity for following providers:

Provider Name	Tan Tran
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1285621052 PECOS PAC ID: 8426962101 Enrollment ID: I20031118000297

Provider Name	Paula S Wolf
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1407445950 PECOS PAC ID: 6800297235 Enrollment ID: I20210623001605

Provider Name	Samantha Gajkowski
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1043912298 PECOS PAC ID: 4183072119 Enrollment ID: I20231130002384

Reviews and Comments

Family Medicine in West Valley City, UT

Vamos Health Ut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S Ste 107, West Valley City, UT 84120 Phone: 502-333-2281
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2196 West 3500 South, Suite C1, West Valley City, UT 84119 Phone: 562-499-6191 Fax: 562-499-6171
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4163 S 3200 W, West Valley City, UT 84119 Phone: 801-964-9355 Fax: 801-967-2692
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 S 2300 W Ste B, West Valley City, UT 84119 Phone: 801-975-7505
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3336 S 4155 W, Ste 306, West Valley City, UT 84120 Phone: 901-964-3855 Fax: 801-208-6367
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84127 Phone: 801-442-1853
Healing Center Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W 3500 S Ste B, West Valley City, UT 84119 Phone: 801-955-8888 Fax: 801-955-8889

- Medicare Primary Care in West Valley City, UT