| Thomas Vance Mccormick, MD | |
|
801 E Williams Ave, Fallon, NV 89406-3052 | |
| (775) 867-7740 | |
| Not Available |
| Full Name | Thomas Vance Mccormick |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 801 E Williams Ave, Fallon, Nevada |
| 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 |
|---|---|---|---|
| 1093814527 | NPI | - | NPPES |
| 11041135 | Other | CAQH | |
| 1093814527 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 10211 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carson Tahoe Physician Clinics | 1153479027 | 109 |
| Banner Health Physicians West Llc | 5092978866 | 84 |
| Banner Churchill Community Hospital | 9638080500 | 21 |
| Entity Name | Carson Tahoe Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360160 PECOS PAC ID: 1759284862 Enrollment ID: O20040128000187 |
| Entity Name | Banner Churchill Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265811251 PECOS PAC ID: 9638080500 Enrollment ID: O20040701000826 |
| Entity Name | Carson Tahoe Physician Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023265717 PECOS PAC ID: 1153479027 Enrollment ID: O20090502000046 |
| Entity Name | Banner Health Physicians West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427314186 PECOS PAC ID: 5092978866 Enrollment ID: O20120516000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Vance Mccormick, MD Po Box 3046, Malvern, PA 19355-0746 Ph: (775) 428-2633 | Thomas Vance Mccormick, MD 801 E Williams Ave, Fallon, NV 89406-3052 Ph: (775) 867-7740 |
Michael Joseph Murray, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 New River Pkwy, Suite 200, Fallon, NV 89406 Phone: 775-428-2633 Fax: 775-428-2630 |