| Crystal Vance, | |
|
175 Township Road 1276, South Point, OH 45680-7315 | |
| (304) 633-0729 | |
| Not Available |
| Full Name | Crystal Vance |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 175 Township Road 1276, South Point, Ohio |
| 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 |
|---|---|---|---|
| 1073918330 | NPI | - | NPPES |
| 0115264 | Medicaid | OH | |
| 3810028359 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN92035-FNP-BC (West Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | COA.16752-NP (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospice Of Huntington, Inc. | 3870572860 | 3 |
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Hospice Of Huntington, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972018646 PECOS PAC ID: 3870572860 Enrollment ID: O20161228000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Vance, 175 Township Road 1276, South Point, OH 45680-7315 Ph: (304) 633-0723 | Crystal Vance, 175 Township Road 1276, South Point, OH 45680-7315 Ph: (304) 633-0729 |
Angela Phares, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Private Road 19423, South Point, OH 45680 Phone: 740-263-2626 Fax: 740-894-1132 | |
Allison R Nolan Phillips, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 335 Jefferson Ave, South Point, OH 45680 Phone: 304-429-1088 | |
Tori Combs, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 178 Private Road 19423, South Point, OH 45680 Phone: 740-451-0741 | |
Dee Ann Freeman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 384 County Road 120 S, South Point, OH 45680 Phone: 740-894-2080 Fax: 740-894-5406 | |
Brittneyann Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 335 Township Road 1026, South Point, OH 45680 Phone: 740-716-7086 | |
Crystal Lynn Long, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 81 Township Road 1373, South Point, OH 45680 Phone: 304-972-4145 |