Phyllis Vance, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lavista, Nebraska. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Focus C3, Pc and her current practice location is
10748 Virginia Plz, Suite 107, Lavista, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 933-4411.
Phyllis Vance is licensed to practice in Nebraska (license number 113743) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003390980.
Provider's Profile
| Full Name | Phyllis Vance |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 10748 Virginia Plz, Suite 107, Lavista, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Phyllis Vance graduated from nursing school in 2018
NPI Data:
- NPI Number: 1003390980
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921351610
- Enrollment ID: I20211117000155
Medical Identifiers
Medical identifiers for Phyllis Vance such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003390980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3012687 (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 113743 (Nebraska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Focus C3, Pc | 6103152947 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Phyllis Vance allows following entities to bill medicare on her behalf.
| Entity Name | Focus C3, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831643964
PECOS PAC ID: 6103152947
Enrollment ID: O20190731002136 |
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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. Phyllis 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 |
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Phyllis Vance, APRN
10748 Virginia Plz, Suite 107,
Lavista, NE 68128-3265
Ph: (402) 933-4411 | Phyllis Vance, APRN
10748 Virginia Plz, Suite 107,
Lavista, NE 68128-3265
Ph: (402) 933-4411 |
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