Vancorp Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Nampa, Idaho. Their current practice location is
270 W Georgia Ave Ste 110, Nampa, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 724-4125.
Vancorp Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vancorp Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1790300598.
Healthcare Provider's Profile
| Full Name | Vancorp Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 270 W Georgia Ave Ste 110, Nampa, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790300598
- Provider Enumeration Date: 06/08/2020
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022433465
- Enrollment ID: O20201019001514
Medical Identifiers
Medical identifiers for Vancorp Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790300598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Vancorp Llc acts as a billing entity for following providers:
| Provider Name | Thad J Chandler |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1346247194
PECOS PAC ID: 7517914708
Enrollment ID: I20050405000411 |
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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. Vancorp Llc 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 Address | Practice Location Address |
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Vancorp Llc
270 W Georgia Ave Ste 110,
Nampa, ID 83686-2835
Ph: () - | Vancorp Llc
270 W Georgia Ave Ste 110,
Nampa, ID 83686-2835
Ph: (208) 724-4125 |
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