| Amanda Vance, | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-3000 | |
| Not Available |
| Full Name | Amanda Vance |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194348466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001284538 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024179485 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Joaquin General Hospital | French camp, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Joaquin Faculty Medical Group | 4082631395 | 129 |
| 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 |
| 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 |
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, CRNA 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 | |
Michael Fusaro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339 |