Vansant Medicine, Inc is a medicare enrolled "Family Medicine - Adult Medicine" provider in Philadelphia, Pennsylvania. Their current practice location is
901 E Passyunk Ave, Philadelphia, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(215) 551-0200.
Vansant Medicine, Inc is licensed to practice in Pennsylvania (license number OS010207L) and it also participates in the medicare program. Vansant Medicine, Inc
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 1538501192.
Healthcare Provider's Profile
| Full Name | Vansant Medicine, Inc |
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| Type | Facility |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 901 E Passyunk Ave, Philadelphia, Pennsylvania |
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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: 1538501192
- Provider Enumeration Date: 07/24/2013
- Last Update Date: 07/24/2013
Medicare PECOS Information:
- PECOS PAC ID: 5395053243
- Enrollment ID: O20150928000026
Medical Identifiers
Medical identifiers for Vansant Medicine, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538501192 | NPI | - | NPPES |
| 18130700001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC006091L (Pennsylvania) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | OS010207L (Pennsylvania) | Primary |
| 261QP2300X | Clinic/center - Primary Care | OS010207L (Pennsylvania) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vansant Medicine, Inc acts as a billing entity for following providers:
| Provider Name | Hanh-nhon Doan |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1497829402
PECOS PAC ID: 8820061138
Enrollment ID: I20040816000692 |
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| Provider Name | Monika Vansant |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1962441683
PECOS PAC ID: 7012986771
Enrollment ID: I20040929000506 |
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| Provider Name | Lakeisha Sherray Starkes |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1295225654
PECOS PAC ID: 6103179429
Enrollment ID: I20181102000068 |
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| Provider Name | Abigail S. Tyler |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1821682154
PECOS PAC ID: 0648676874
Enrollment ID: I20210913003061 |
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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. Vansant Medicine, Inc 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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Vansant Medicine, Inc
901 E Passyunk Ave,
Philadelphia, PA 19147-2924
Ph: (215) 551-0200 | Vansant Medicine, Inc
901 E Passyunk Ave,
Philadelphia, PA 19147-2924
Ph: (215) 551-0200 |
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