| Jason Vance Md A Medical Corporation | |
|
7586 Catchfly Dr Ooltewah TN 37363-1725 | |
| (530) 966-5454 | |
| Not Available |
| Full Name | Jason Vance Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 7586 Catchfly Dr, Ooltewah, Tennessee |
| Authorized Official Name and Position | Jason Vance (OWNER) |
| Authorized Official Contact | 5309665454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Vance Md A Medical Corporation 7586 Catchfly Dr Ooltewah TN 37363-1725 Ph: (530) 966-5454 | Jason Vance Md A Medical Corporation 7586 Catchfly Dr Ooltewah TN 37363-1725 Ph: (530) 966-5454 |
| NPI Number | 1467959155 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 6406107507 |
|---|---|
| Medicare Enrollment ID | O20181001000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467959155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
| Provider Name | Jason R Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912938234 PECOS PAC ID: 6901813468 Enrollment ID: I20080520000918 |
| Provider Name | Jennifer A Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215162540 PECOS PAC ID: 5991855496 Enrollment ID: I20131220001190 |
| Provider Name | Sachin Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255628285 PECOS PAC ID: 8628201340 Enrollment ID: I20140505001629 |
| Provider Name | Shauna Winkle Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356789879 PECOS PAC ID: 8729396742 Enrollment ID: I20150924001577 |
| Provider Name | Jodi Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063860575 PECOS PAC ID: 9436390515 Enrollment ID: I20160722001981 |
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