Mary E Vance, FNP is a medicare enrolled "Nurse Practitioner - Family" in 008-b213, Minnesota. Her current practice location is
9900 Bren Road East, Mail Route Nm, 008-b213, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(423) 388-1730.
Mary E Vance is licensed to practice in Tennessee (license number APN007047) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407885148.
Provider's Profile
Full Name | Mary E Vance |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9900 Bren Road East, 008-b213, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407885148
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 06/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092729889
- Enrollment ID: I20160831002251
Medical Identifiers
Medical identifiers for Mary E Vance such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407885148 | NPI | - | NPPES |
100025524 | Other | TN | PHP |
3343736 | Medicaid | TN | |
4117453 | Other | TN | BLUECROSSBLUESHIELD |
TN01N4 | Other | TN | JOHN DEERE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN007047 (Tennessee) | Primary |
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. Mary E Vance 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 |
Mary E Vance, FNP 8735 Kingsport Hwy, Chuckey, TN 37641-6908 Ph: (423) 329-4610 | Mary E Vance, FNP 9900 Bren Road East, Mail Route Nm, 008-b213, MN 55343 Ph: (423) 388-1730 |
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