Crystal Vance, | |
175 Township Road 1276, South Point, OH 45680-7315 | |
(304) 633-0729 | |
Not Available |
Full Name | Crystal Vance |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 175 Township Road 1276, South Point, Ohio |
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 |
---|---|---|---|
1073918330 | NPI | - | NPPES |
0115264 | Medicaid | OH | |
3810028359 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN92035-FNP-BC (West Virginia) | Primary |
363LF0000X | Nurse Practitioner - Family | COA.16752-NP (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Crystal Vance, 175 Township Road 1276, South Point, OH 45680-7315 Ph: (304) 633-0723 | Crystal Vance, 175 Township Road 1276, South Point, OH 45680-7315 Ph: (304) 633-0729 |
Angela Phares, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 178 Private Road 19423, South Point, OH 45680 Phone: 740-263-2626 Fax: 740-894-1132 | |
Allison R Nolan Phillips, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Jefferson Ave, South Point, OH 45680 Phone: 304-429-1088 | |
Tori Combs, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 178 Private Road 19423, South Point, OH 45680 Phone: 740-451-0741 | |
Derek Morgan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Township Road 1026, South Point, OH 45680 Phone: 740-744-4055 Fax: 740-451-0590 | |
Dee Ann Freeman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 384 County Road 120 S, South Point, OH 45680 Phone: 740-894-2080 Fax: 740-894-5406 | |
Brittneyann Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Township Road 1026, South Point, OH 45680 Phone: 740-716-7086 |