| Dr Kipp Allen Vancamp, DO | |
|
604 Lovejoy Ln Ste 100, Woodstock, GA 30189-3634 | |
| (770) 268-4336 | |
| (470) 251-6063 |
| Full Name | Dr Kipp Allen Vancamp |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 604 Lovejoy Ln Ste 100, Woodstock, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164460655 | NPI | - | NPPES |
| 106163 | Other | KS | BCBS OF KS |
| 104991 | Other | KS | BCBS PROVIDER NUMBER |
| P00440177 | Other | KS | RAILROAD MEDICARE GROUP DG5299 |
| 100234960F | Medicaid | KS | |
| 18484065 | Other | MO | BCBS OF KANSAS CITY |
| P00477479 | Other | KS | RR MEDICARE |
| 1002234960H | Medicaid | KS | |
| KA1066001 | Other | KS | KS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0525311 (Kansas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 103575 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Catherine Hospital | Garden city, KS | Hospital |
| Entity Name | Hays Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770618258 PECOS PAC ID: 1557279676 Enrollment ID: O20040224000687 |
| Entity Name | Commonspirit Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
| Entity Name | Midwest Radiology Institute, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770768012 PECOS PAC ID: 4486723319 Enrollment ID: O20080519000646 |
| Entity Name | Colorado Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255306726 PECOS PAC ID: 6800880055 Enrollment ID: O20200818001295 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20240925002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kipp Allen Vancamp, DO 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 Ph: (770) 914-0116 | Dr Kipp Allen Vancamp, DO 604 Lovejoy Ln Ste 100, Woodstock, GA 30189-3634 Ph: (770) 268-4336 |
Raul E. Paraliticci, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 706 Song Bird Way, Woodstock, GA 30188 Phone: 404-509-2768 | |
Dr. Arthur Robert Eschleman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 436 Mill Stream Way, Woodstock, GA 30188 Phone: 678-445-3816 | |
Nayyer U Islam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2230 Towne Lake Parkway, Bldg, No. 900, Suite 250 & 150, Woodstock, GA 30189 Phone: 404-556-9222 Fax: 404-556-9222 |