Mary E Vance, FNP in 008-b213, MN - Medicare Nurse Practitioner

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.

Contact Information

	Mary E Vance, FNP
	9900 Bren Road East, Mail Route Nm, 008-b213, MN 55343
	(423) 388-1730
	Not Available

Provider's Profile

Full Name	Mary E Vance
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9900 Bren Road East, 008-b213, Minnesota
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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Mary E Vance, FNP - Medicare Nurse Practitioner in 008-b213, MN