Terrell B Vanaken Md Inc - Medicare Primary Care in Vacaville, CA

Terrell B Vanaken Md Inc is a medicare enrolled primary clinic (Family Medicine) in Vacaville, California. The current practice location for Terrell B Vanaken Md Inc is 167 Bounty Ln, Vacaville, California. For appointments, you can reach them via phone at (707) 694-2623. The mailing address for Terrell B Vanaken Md Inc is 167 Bounty Ln, Vacaville, California and phone number is (707) 694-2623.

Terrell B Vanaken Md Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770271264. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (707) 694-2623.

Contact Information

Terrell B Vanaken Md Inc
167 Bounty Ln
Vacaville
CA 95687-3120
(707) 694-2623
Not Available

Primary Care Clinic Profile

Full NameTerrell B Vanaken Md Inc
SpecialityFamily Medicine
Location167 Bounty Ln, Vacaville, California
Authorized Official Name and PositionTerrell B Vanaken (OWNER)
Authorized Official Contact7076942623
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terrell B Vanaken Md Inc
167 Bounty Ln
Vacaville
CA 95687-3120

Ph: (707) 694-2623
Terrell B Vanaken Md Inc
167 Bounty Ln
Vacaville
CA 95687-3120

Ph: (707) 694-2623

NPI Details:

NPI Number1770271264
Provider Enumeration Date04/24/2023
Last Update Date01/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8820455447
Medicare Enrollment IDO20230613000458

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Medical Identifiers

Medical identifiers for Terrell B Vanaken Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770271264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Terrell B Vanaken Md Inc acts as a billing entity for following providers:
Provider NameTerrell B Van Aken
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306941430
PECOS PAC ID: 0244367969
Enrollment ID: I20100428000471

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