Dr Xiomara Antonetti Vance, MD | |
317 Western Blvd, Jacksonville, NC 28546-6338 | |
(910) 577-2345 | |
Not Available |
Full Name | Dr Xiomara Antonetti Vance |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 317 Western Blvd, Jacksonville, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902290281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 293040-1 (New York) | Secondary |
207P00000X | Emergency Medicine | 2020-00137 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours Community Hospital | Port jervis, NY | Hospital |
St Anthony Community Hospital | Warwick, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delaware River Medicine Pllc | 4981034550 | 21 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | Delaware River Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457987521 PECOS PAC ID: 4981034550 Enrollment ID: O20200422001405 |
Mailing Address | Practice Location Address |
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Dr Xiomara Antonetti Vance, MD 317 Western Blvd, Jacksonville, NC 28546-6338 Ph: (910) 577-2345 | Dr Xiomara Antonetti Vance, MD 317 Western Blvd, Jacksonville, NC 28546-6338 Ph: (910) 577-2345 |
Dr. Alexis Eccleston, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2345 | |
Dr. Stephanie Wodowski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2240 | |
Tammy Marie Reed, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-712-4210 | |
Yvette Longoria, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-353-1536 | |
John C. Gudger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2240 Fax: 910-577-2439 | |
James E. Garrett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 317 Western Blvd, Jacksonville, NC 28546 Phone: 910-577-2240 Fax: 910-577-2439 | |
William Treanor Hosek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 317 Western Blvd, Dept Of Emergency Medicine, Jacksonville, NC 28546 Phone: 410-577-2240 |