| Taylor Frederick Randall Vice, MD | |
|
Womack Army Medical Center, 2817 Rock Merritt Ave, Fort Bragg, NC 28310-5000 | |
| (910) 907-8707 | |
| Not Available |
| Full Name | Taylor Frederick Randall Vice |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 14 Years |
| Location | Womack Army Medical Center, Fort Bragg, North Carolina |
| 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 |
|---|---|---|---|
| 1578859039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2016-01237 (North Carolina) | Primary |
| 207L00000X | Anesthesiology | 01077405A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nash General Hospital | Rocky mount, NC | Hospital |
| Wayne Memorial Hospital | Goldsboro, NC | Hospital |
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Cape Fear Valley Hoke Hospital | Raeford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of North Carolina At Chapel Hill | 0648181156 | 1826 |
| Southeast Anesthesiology Consultants Pllc | 7719959873 | 73 |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Fayetteville Anesthesia, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144362864 PECOS PAC ID: 0941281158 Enrollment ID: O20040525000891 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Frederick Randall Vice, MD 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 Ph: (919) 966-2211 | Taylor Frederick Randall Vice, MD Womack Army Medical Center, 2817 Rock Merritt Ave, Fort Bragg, NC 28310-5000 Ph: (910) 907-8707 |
Shovna Mishra, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Thomas Allen Fawcett, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Bragg, NC 28310 Phone: 910-907-7668 | |
Brandon James Leighton, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-643-8816 | |
Dr. Susan Watson Durham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Frederick Victor Palmquist, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2817 Reilly Road, Womack Army Cetner Mcxc-cod Credentials, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Dr. Michael W Bartoszek, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: Wamc Bldg 2 Pain Clinic, 2817 Reilly Rd Stop A, Fort Bragg, NC 28310 Phone: 910-907-6542 |