Kerry Dean Vance, MD | |
2500 S Woodworth Loop, Palmer, AK 99645-8984 | |
(907) 375-3355 | |
(907) 375-3351 |
Full Name | Kerry Dean Vance |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2500 S Woodworth Loop, Palmer, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699737692 | NPI | - | NPPES |
1314130-08 | Medicaid | TX | |
8U1465 | Other | TX | BLUE SHIELD |
8CD653 | Other | TX | BC/BS |
1314130-09 | Other | TX | CSHCN |
131413010 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H5367 (Texas) | Secondary |
207Q00000X | Family Medicine | 2012025753 (Missouri) | Primary |
207Q00000X | Family Medicine | 7596 (Alaska) | Secondary |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
Mailing Address | Practice Location Address |
---|---|
Kerry Dean Vance, MD 4300 B St Ste 200, Anchorage, AK 99503-5933 Ph: (907) 375-3355 | Kerry Dean Vance, MD 2500 S Woodworth Loop, Palmer, AK 99645-8984 Ph: (907) 375-3355 |
Myra Dimitrov Dimitrov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2323 S Trunk Rd Apt 6, Palmer, AK 99645 Phone: 907-746-6644 | |
Dr. Jeffrey James Copeland, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2250 S Woodworth Loop, Suite 101, Palmer, AK 99645 Phone: 907-761-5900 Fax: 907-761-5975 | |
Dr. Jason Brooks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 634 S Bailey St, Ste 104, Palmer, AK 99645 Phone: 907-746-2345 | |
Dr. Rebekah A. Robinson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 209 W Evergreen Ave, Palmer, AK 99645 Phone: 907-861-1450 Fax: 907-861-1480 | |
Jill Valerius, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 S Cobb St, Suite 201, Palmer, AK 99645 Phone: 907-745-9355 Fax: 907-745-9356 | |
Mrs. Rachel Susan Cuevas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2480 S Woodworth Loop Ste 150, Palmer, AK 99645 Phone: 907-861-6312 Fax: 907-861-6322 | |
Micah David Renicker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 209 W Evergreen Ave, Palmer, AK 99645 Phone: 907-861-1450 |