Derk Lee Maniscalco, DNP | |
700 Ne 87th Ave, Vancouver, WA 98664 | |
(360) 397-3460 | |
(360) 604-1761 |
Full Name | Derk Lee Maniscalco |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 700 Ne 87th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467764647 | NPI | - | NPPES |
1467764647 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201050075NP (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60147803 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Vancouver Clinic Inc Ps | 3173436490 | 471 |
Entity Name | The Vancouver Clinic Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Mailing Address | Practice Location Address |
---|---|
Derk Lee Maniscalco, DNP 15409 Ne 89th St., Vancouver, WA 98682-0000 Ph: (303) 229-2418 | Derk Lee Maniscalco, DNP 700 Ne 87th Ave, Vancouver, WA 98664 Ph: (360) 397-3460 |
Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337 | |
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777 | |
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061 | |
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 | |
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228 | |
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778 | |
Nina Tran, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Ne 192nd Ave Ste 505, Vancouver, WA 98684 Phone: 503-305-6262 |