Amanda Vance, in Travis Afb, CA - Medicare Nurse Anesthetist, Certified Registered

Amanda Vance, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. Her current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-3000.

Amanda Vance is licensed to practice in Virginia (license number 0024179485) 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 1194348466.

Contact Information

	Amanda Vance,
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Vance
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194348466
Provider Enumeration Date: 05/21/2020
Last Update Date: 02/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4981091147
Enrollment ID: I20220419000712

Medical Identifiers

Medical identifiers for Amanda Vance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194348466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001284538 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024179485 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Vance allows following entities to bill medicare on her behalf.

Entity Name	Folsom Anesthesia Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043700941 PECOS PAC ID: 4981956729 Enrollment ID: O20181005002852

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. Amanda 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
Amanda Vance, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () -	Amanda Vance, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Martin Ockert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3589
Mr. Jerry Edward Glattfelt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535 Phone: 707-423-5370
Mr. David Lee Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3589
Michael Millar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Jorge Montequin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Shawna Mills Greiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3583
Gregory John Miles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605

Amanda Vance, - Medicare Nurse Anesthetist, Certified Registered in Travis Afb, CA